Shrapnel in carotid sheath: A rare penetrating neck injury.
10.1016/j.cjtee.2023.07.001
- Author:
Muhammad REHAN
1
;
Savera ANWAR
1
;
Hadia WALI
2
;
Aysha NOOR
1
;
Omer EHSAN
3
;
Shayan Shahid ANSARI
3
Author Information
1. Otolaryngology-Head and Neck Surgery, Shifa College of Medicine, Islamabad, Pakistan.
2. Otolaryngology-Head and Neck Surgery, Shifa International Hospital, Islamabad, Pakistan. Electronic address: hadia.wali.khan@gmail.com.
3. Otolaryngology-Head and Neck Surgery, Shifa International Hospital, Islamabad, Pakistan.
- Publication Type:Journal Article
- Keywords:
Foreign body neck;
Internal jugular vein;
Penetrating neck injury;
Shrapnel
- MeSH:
Humans;
Male;
Adult;
Neck Injuries/diagnostic imaging*;
Wounds, Penetrating/diagnostic imaging*;
Foreign Bodies/diagnostic imaging*;
Jugular Veins;
Tomography, X-Ray Computed;
Carotid Artery Injuries/surgery*;
Carotid Artery, Common
- From:
Chinese Journal of Traumatology
2025;28(3):231-234
- CountryChina
- Language:English
-
Abstract:
Injuries deeper than the platysma are considered as penetrating neck injuries, constituting approximately 5% - 10% of all trauma. Many vital organs are at risk from a penetrating neck injury. These injuries in zone 1 have the highest mortality, because the injuries are close to the vital organs and difficult to access surgically. A 41-year-old male, a car mechanic by profession, presented to the emergency department with a penetrating neck injury on the right side. CT scan demonstrated a metallic foreign body in zone 1 between the right internal jugular vein and the common carotid artery. The patient was asymptomatic, and the foreign body was removed surgically. This case shows a rare presentation of a penetrating neck injury with a foreign body located in zone 1, where no vital internal structure was injured. As of now, no previous case report has been identified on such presentation. Thus, it will provide a valuable addition to the pre-existing literature.
