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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Chin+J+Traumatol
2018 ; 21
(2
): 118-121
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gab.com Text
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English Wikipedia
Forty hours with a traumatic carotid transection: A diagnostic caveat and review
of the contemporary management of penetrating neck trauma
#MMPMID29563058
Ng E
; Campbell I
; Choong A
; Kruger A
; Walker PJ
Chin J Traumatol
2018[Apr]; 21
(2
): 118-121
PMID29563058
show ga
Although penetrating neck trauma (PNT) is uncommon, it is associated with the
significant morbidity and mortality. The management of PNT has changed
significantly over the past 50 years. A radiological assessment now is a vital
part of the management with a traditional surgical exploration. A 22 years old
male was assaulted by a screwdriver and sustained multiple penetrating neck
injuries. A contrast CT scan revealed a focal pseudoaneurysm in the left common
carotid artery bulb. There was no active bleeding or any other vascular injuries
and the patient remained haemodynamically stable. In view of these findings, he
was initially managed conservatively without an open surgical exploration.
However, the patient was noted to have an acute drop in his hemoglobin count
overnight post injury and the catheter directed angiography showed active
bleeding from the pseudoaneurysm. Surgical exploration 40 hours following the
initial injury revealed a penetrating injury through both arterial walls of the
left carotid bulb which was repaired with a great saphenous vein patch. A
percutaneous drain was inserted in the carotid triangle and a course of
intravenous antibiotics for five days was commenced. The patient recovered well
with no complications and remained asymptomatic at five months followup.