Penetrating neck trauma caused by a rebar
| Autor: | Yanjun Wang, Yan Wang, Banghua Liu, Yu Sun, Guo-Hui Liu, Xingao Xiong, Jian-Xin Yue, Chen-Zhang Yang, Tao Zhou, Weijia Kong, Xiaomeng Zhang |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment 030208 emergency & critical care medicine General Medicine 030230 surgery medicine.disease Parotid gland Chest tube 03 medical and health sciences 0302 clinical medicine Tracheotomy medicine.anatomical_structure Neck exploration medicine Tomography Radiology Foreign body business Neck trauma Computed tomography angiography |
| Zdroj: | Medicine. 97:e0468 |
| ISSN: | 0025-7974 |
| DOI: | 10.1097/md.0000000000010468 |
| Popis: | Rationale Penetrating neck trauma has a mortality of 3% to 6% and is associated with serious complications, mainly due to the high density of vital structures in this area and the lack of corresponding protection from bone. Patient concerns A 55-year-old man who suffered neck trauma involving the parotid gland, caused by a rebar, after suffering a fall from the second floor of a building. Diagnoses Penetrating neck trauma. Interventions The patient underwent a neck exploration under general anesthesia in the emergency operating room and tracheotomy was performed prophylactically. Outcomes The foreign object was ultimately removed successfully with no complications. Lessons We concluded that computed tomography (CT) and three-dimensional reconstruction of the CT images can be a viable method to exclude macrovascular injury for patients who are in an emergency condition and are not eligible for computed tomography angiography (CTA). A chest tube could be used as an option for the removal of foreign bodies in the case of sharp or rough objects (such as spiral foreign bodies), when fully exposing the foreign body and its track. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|