Penetrating neck trauma with common carotid artery injury ca
Penetrating neck traumas are dangerous and have a high mortality rate, particularly in patients with common carotid artery injuries. Advances in diagnostic imaging technology have shifted management of penetrating neck injuries from mandatory exploration to selective management. The question is now regarding optimal selection of auxiliary examinations to assess “stability” rapidly and guide clinics in managing such patients.

A 56-year-old man suffered neck trauma with the right common carotid artery caused by a percussive drill. The carotid artery could not be clearly displayed in computed tomography (CT) angiography imaging. Penetrating neck trauma due to percussive drill bit with common carotid artery injury.

X-ray and bedside duplex ultrasound with color Doppler flow imaging were used to assess the state of trauma and the foreign body was removed under general anesthesia. The patient was discharged at postoperative day 10 with no complication. The patient had no sequelae from this injury at 6-month follow up.

Source: Medicine: May 2019 - Volume 98 - Issue 22 - p e15750

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