[Ethmoidal fracture. Differential diagnosis of orbital cellulites in pediatrics. Clinical case].

We report a case of orbital emphysema secondary to ethmoidal fracture after minimal trauma as differential diagnosis of orbital cellulitis not reported before in children. An 8 year-old girl with diagnosis of orbital cellulitis was remitted for admittance, IV antibiotics and evaluation by an ophthalmologist. However, further evaluation led to a diagnosis of ethmoidal lamina papyracea fracture. Patient showed complete resolution in 4 days with outpatient treatment. Once again, this case corroborates that meticulous history taking and physical examination are irreplaceable for decision making.