A case report of cervicothoracic penetrating injury with retention of foreign body
| العنوان: | A case report of cervicothoracic penetrating injury with retention of foreign body |
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| المؤلفون: | Mengwei Yao, Qinyuan Huang, Dengdian Ma, Yang Hui, Xinxin Yang, Yunbing Dai, Xiaoyu Li, Jing Xu, Tao Liu, Xinying Liu |
| المصدر: | BMC Surgery BMC Surgery, Vol 21, Iss 1, Pp 1-7 (2021) |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, RD1-811, Ischemia, Case Report, Chest trauma, Wounds, Penetrating, 030204 cardiovascular system & hematology, law.invention, 03 medical and health sciences, 0302 clinical medicine, law, Throat, medicine.artery, medicine, Humans, 030212 general & internal medicine, Common carotid artery, Esophagus, Fibrous joint, Penetrating trauma, business.industry, Accidents, Traffic, General Medicine, Foreign Bodies, medicine.disease, Intensive care unit, Surgery, Foreign body, medicine.anatomical_structure, business, Neck trauma |
| الوصف: | Background Cervicothoracic penetrating injury, considered to be relatively rare, has a complicated mechanism that is difficult to treat. In this report, a special case of cervicothoracic injury caused by foreign body penetration was elucidated. In this case, the injury location and the involved foreign body were exceptionally particular, which induced a challenging process of diagnosis and treatment. Case presentation A male patient suffered from a serious injury caused by a thick branch that pierced through his neck in a traffic accident between an electric car and a tricycle carrying wood. There were also local injuries in the left scapular region. After an emergency multidisciplinary consultation, the patient was diagnosed and subsequently treated with vascular exploration and repair (common carotid artery), intrathoracic foreign body extraction, chest exploration, debridement, and suture. After surgery, he was transferred to the emergency intensive care unit for anticoagulation and anti-infection treatment. Finally, after the improvement of his physical condition, the patient was transferred to the general ward for further treatment and was successfully discharged from the hospital. Once discharged, the patient lived a normal life, free from sequelae or complications. Conclusion It may be an extremely daunting task to cure cervicothoracic penetrating injury due to its rare occurrence in clinical practice. Different from the previous cervicothoracic traumas, the injury location in this case is exceedingly particular. In general, the common cervicothoracic trauma is associated with damage to the trachea, esophagus, throat, and other structures, easily resulting in dyspnea, which, however, does not occur in this case. The insertion position of foreign body is exceptionally particular as it does not pierce the common carotid artery but poses compression on it, which induces ischemia. It is essential for the successful treatment that the treatment plan is formulated via the detailed imaging examination and careful multidisciplinary consultation. |
| تدمد: | 1471-2482 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cbb18066ed882ce892730adf3f3fa3ef https://doi.org/10.1186/s12893-021-01234-y |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....cbb18066ed882ce892730adf3f3fa3ef |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14712482 |
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