Occult medial orbital wall trapdoor fracture inducing recurrent rhinogenic intraorbital abscess in a pediatric patient: a case report.

ABSTRACT:

Background

In pediatric populations, rhinogenic intraorbital abscess is frequently encountered, typically resulting from the direct extension of acute sinusitis. However, recurrent rhinogenic intraorbital abscess secondary to an occult medial orbital wall trapdoor fracture is extremely rare and often overlooked due to atypical trauma history and subtle imaging features.

Case presentation

An 11-year-old male pediatric patient experienced recurrent nasal congestion and rhinorrhea with redness, swelling, and pain of the left eye. He was first diagnosed with acute sinusitis, yet conventional anti-infective treatment failed to provide improvement. Radiological assessment indicated a left intraorbital abscess, and further history disclosed repeated facial injuries caused by basket

SUBMITTER: Jiang L 

PROVIDER: S-EPMC12639652 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature