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Emerg Med J doi:10.1136/emermed-2013-202759
  • Images in emergency medicine

Penetrating facial injury

  1. Tae Hyun Choi4
  1. 1Department of Radiology, Keimyung University Dongsan Medical Center
  2. 2Emergency medicine, Keimyung University Dongsan Medical Center and Neurology
  3. 3Keimyung University Dongsan Medical Center, Daegu, Republic of Korea
  4. 4Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul, Republic of Korea
  1. Correspondence to Dr Hyuk Won Chang, Interventional Neuroradiology, Keimyung university Dongsan medical center, Jung-gu Dalsungro 56, Daegu, Republic of Korea; hyukwonchang{at}korea.com
  • Accepted 5 May 2013
  • Published Online First 7 June 2013

A 20-year-old motorcycle messenger crashed into a truck transporting structural pipes. Accidentally a 3 cm diameter pipe penetrated his right inferior orbit and soft tissue below the left posterior lateral neck.

When he arrived at the emergency room, there was a blunt wound with active bleeding in his right zygoma and haematoma in his left neck.

On CT the metallic pipe passed through the …