Transection of the Internal Jugular Vein by a Neck Stab Injury : A case report.
- Author:
Young Gil KO
1
;
Byeong Wook LEE
;
Ki Seog LEE
;
Kwang Je BAEK
;
Jun Sig KIM
;
Young Up CHO
;
Kee Chun HONG
;
Kyung Rae KIM
Author Information
1. Department of Emergency Medicine, College of Medicine, Inha University, Incheon, Korea.
- Publication Type:Case Report
- Keywords:
Internal jugular vein;
Transection;
Pseudoaneurysm;
End-to-end anastomosis
- MeSH:
Aneurysm, False;
Cause of Death;
Female;
Hematoma;
Hemorrhage;
Humans;
Jugular Veins*;
Korea;
Mortality;
Neck Injuries;
Neck*;
Operating Rooms;
Physical Examination;
Resuscitation;
Tomography, X-Ray Computed;
Vascular System Injuries;
Veins;
Young Adult
- From:Journal of the Korean Society of Emergency Medicine
2003;14(4):447-451
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Injuries to the internal jugular vein rarely occur in Korea. However, neck veins are damaged more frequently than any other structure by neck stab injuries, and jugular venous injuries are caused almost exclusively by penetrating neck trauma. Vascular injury is the leading cause of death from trauma. Bleeding from injury to jugular veins is a main contributing factor of mortality as a result of penetrating neck trauma. When we meet a patient of neck stab injury, we must do a careful physical examination and some selective special diagnostic studies. Patients with penetrating neck injuries who are taken directly to the operating room are those with severe external hemorrhage and expanding hematoma and those who are hemodynamically unstable despite of resuscitation. A 22-year-old woman received a stab injury to the neck. On the neck CT scan, the patient was revealed to have a pseudoaneurysm caused by transection of the internal jugular vein. The patient recovered well from the injury as a result of a selective operation, an end-to-end anastomosis. We report that case of a penetrating neck injury resulting in transection of the internal jugular vein and give a review of other reported cases.
