Emergency surgery for penetrating neck trauma and common carotid artery laceration presenting with shock: a case report
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | MedNEXT Journal of Medical and Health Sciences |
Texto Completo: | https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/345 |
Resumo: | Introduction: The neck is an important anatomical junction connecting the head and limbs to the trunk and several vital neurovascular and aerodigestive structures pass through it. Zone II is the commonest site of penetrating neck injuries (PNI) and is commonly associated with vascular injury. The mortality rate following PNI is approximately 10%, increasing to 20% with concomitant penetrating carotid injury. Case description: A 43-year-old was brough to the emergency department in class III haemorrhagic shock with a 5mm, bleeding, penetrating neck injury in zone II of the neck. He had soft signs of vascular injury, bleeding was controlled with direct pressure, and resuscitation was commenced with intravenous crystalloids and blood products. Surgical exploration revealed a 5mm laceration in the distal common carotid artery which was repaired primarily. Postoperative computed tomography (CT) angiogram was normal and the patient had an uneventful recovery. Discussion: Traumatic disruption of the platysma is described as PNI and accounts for 10% of all penetrating injuries. Vascular injuries are most commonly seen in zone II and are usually associated with hard and soft signs of vascular injury. Zone II injuries require operative exploration with preoperative CT angiography recommended in haemodynamically stable patients to identify the type of injury. Small defects in the carotid artery can be repaired primarily. Conclusions: Open surgical exploration is mandatory for all patients with penetrative neck injury and haemodynamic instability. CT angiogram is recommended prior to open exploration is stable patients with zone II PNI. |
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Emergency surgery for penetrating neck trauma and common carotid artery laceration presenting with shock: a case reportTraumaticCommon carotid artery injuryPenetrating neck injuryIntroduction: The neck is an important anatomical junction connecting the head and limbs to the trunk and several vital neurovascular and aerodigestive structures pass through it. Zone II is the commonest site of penetrating neck injuries (PNI) and is commonly associated with vascular injury. The mortality rate following PNI is approximately 10%, increasing to 20% with concomitant penetrating carotid injury. Case description: A 43-year-old was brough to the emergency department in class III haemorrhagic shock with a 5mm, bleeding, penetrating neck injury in zone II of the neck. He had soft signs of vascular injury, bleeding was controlled with direct pressure, and resuscitation was commenced with intravenous crystalloids and blood products. Surgical exploration revealed a 5mm laceration in the distal common carotid artery which was repaired primarily. Postoperative computed tomography (CT) angiogram was normal and the patient had an uneventful recovery. Discussion: Traumatic disruption of the platysma is described as PNI and accounts for 10% of all penetrating injuries. Vascular injuries are most commonly seen in zone II and are usually associated with hard and soft signs of vascular injury. Zone II injuries require operative exploration with preoperative CT angiography recommended in haemodynamically stable patients to identify the type of injury. Small defects in the carotid artery can be repaired primarily. Conclusions: Open surgical exploration is mandatory for all patients with penetrative neck injury and haemodynamic instability. CT angiogram is recommended prior to open exploration is stable patients with zone II PNI.MetaScience Press2024-03-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/34510.54448/mdnt24113MedNEXT Journal of Medical and Health Sciences; Vol. 5 No. 1 (2024): MedNEXT - February 2024MedNEXT Journal of Medical and Health Sciences; v. 5 n. 1 (2024): MedNEXT - February 20242763-5678reponame:MedNEXT Journal of Medical and Health Sciencesinstname:Faculdade de Medicina em São José do Rio Preto (Faceres)instacron:FACERESenghttps://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/345/335Copyright (c) 2023 Deshan Mario Gomez, Viraj Rohana Abeykoonhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGomez, Deshan MarioAbeykoon, Viraj Rohana2024-01-11T12:38:32Zoai:ojs2.mednext.zotarellifilhoscientificworks.com:article/345Revistahttps://mednext.zotarellifilhoscientificworks.com/index.php/mednextPUBhttps://mednext.zotarellifilhoscientificworks.com/index.php/mednext/oaimednextjmhs@zotarellifilhoscientificworks.com2763-56782763-5678opendoar:2024-01-11T12:38:32MedNEXT Journal of Medical and Health Sciences - Faculdade de Medicina em São José do Rio Preto (Faceres)false |
dc.title.none.fl_str_mv |
Emergency surgery for penetrating neck trauma and common carotid artery laceration presenting with shock: a case report |
title |
Emergency surgery for penetrating neck trauma and common carotid artery laceration presenting with shock: a case report |
spellingShingle |
Emergency surgery for penetrating neck trauma and common carotid artery laceration presenting with shock: a case report Gomez, Deshan Mario Traumatic Common carotid artery injury Penetrating neck injury |
title_short |
Emergency surgery for penetrating neck trauma and common carotid artery laceration presenting with shock: a case report |
title_full |
Emergency surgery for penetrating neck trauma and common carotid artery laceration presenting with shock: a case report |
title_fullStr |
Emergency surgery for penetrating neck trauma and common carotid artery laceration presenting with shock: a case report |
title_full_unstemmed |
Emergency surgery for penetrating neck trauma and common carotid artery laceration presenting with shock: a case report |
title_sort |
Emergency surgery for penetrating neck trauma and common carotid artery laceration presenting with shock: a case report |
author |
Gomez, Deshan Mario |
author_facet |
Gomez, Deshan Mario Abeykoon, Viraj Rohana |
author_role |
author |
author2 |
Abeykoon, Viraj Rohana |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Gomez, Deshan Mario Abeykoon, Viraj Rohana |
dc.subject.por.fl_str_mv |
Traumatic Common carotid artery injury Penetrating neck injury |
topic |
Traumatic Common carotid artery injury Penetrating neck injury |
description |
Introduction: The neck is an important anatomical junction connecting the head and limbs to the trunk and several vital neurovascular and aerodigestive structures pass through it. Zone II is the commonest site of penetrating neck injuries (PNI) and is commonly associated with vascular injury. The mortality rate following PNI is approximately 10%, increasing to 20% with concomitant penetrating carotid injury. Case description: A 43-year-old was brough to the emergency department in class III haemorrhagic shock with a 5mm, bleeding, penetrating neck injury in zone II of the neck. He had soft signs of vascular injury, bleeding was controlled with direct pressure, and resuscitation was commenced with intravenous crystalloids and blood products. Surgical exploration revealed a 5mm laceration in the distal common carotid artery which was repaired primarily. Postoperative computed tomography (CT) angiogram was normal and the patient had an uneventful recovery. Discussion: Traumatic disruption of the platysma is described as PNI and accounts for 10% of all penetrating injuries. Vascular injuries are most commonly seen in zone II and are usually associated with hard and soft signs of vascular injury. Zone II injuries require operative exploration with preoperative CT angiography recommended in haemodynamically stable patients to identify the type of injury. Small defects in the carotid artery can be repaired primarily. Conclusions: Open surgical exploration is mandatory for all patients with penetrative neck injury and haemodynamic instability. CT angiogram is recommended prior to open exploration is stable patients with zone II PNI. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-03-06 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/345 10.54448/mdnt24113 |
url |
https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/345 |
identifier_str_mv |
10.54448/mdnt24113 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/345/335 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Deshan Mario Gomez, Viraj Rohana Abeykoon https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Deshan Mario Gomez, Viraj Rohana Abeykoon https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
MetaScience Press |
publisher.none.fl_str_mv |
MetaScience Press |
dc.source.none.fl_str_mv |
MedNEXT Journal of Medical and Health Sciences; Vol. 5 No. 1 (2024): MedNEXT - February 2024 MedNEXT Journal of Medical and Health Sciences; v. 5 n. 1 (2024): MedNEXT - February 2024 2763-5678 reponame:MedNEXT Journal of Medical and Health Sciences instname:Faculdade de Medicina em São José do Rio Preto (Faceres) instacron:FACERES |
instname_str |
Faculdade de Medicina em São José do Rio Preto (Faceres) |
instacron_str |
FACERES |
institution |
FACERES |
reponame_str |
MedNEXT Journal of Medical and Health Sciences |
collection |
MedNEXT Journal of Medical and Health Sciences |
repository.name.fl_str_mv |
MedNEXT Journal of Medical and Health Sciences - Faculdade de Medicina em São José do Rio Preto (Faceres) |
repository.mail.fl_str_mv |
mednextjmhs@zotarellifilhoscientificworks.com |
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