• Pediatric emergency care · Aug 2014

    Case Reports

    Unusual sequela from a pencil stab wound reveals a retained graphite foreign body.

    • Iris A Seitz, Bradley A Silva, and Loren S Schechter.
    • From the *University Plastic Surgery, Affiliated With †Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, IL.
    • Pediatr Emerg Care. 2014 Aug 1;30(8):568-70.

    AbstractPenetrating pencil-tip injuries are common among children and usually resolve without long-term sequelae. However, failure to detect and remove embedded pencil fragments can result in increased morbidity or misdiagnoses of other, more serious, conditions. We report on the case of a 10-year-old boy stabbed with a pencil on his right chin. Initial treatment in the emergency department included irrigation and closure of the laceration. Following suture removal, the patient returned to the emergency department (with bright-purple drainage from the wound site). Radiographic evaluation led to the discovery of an embedded foreign body requiring surgical removal.

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