Residual foreign body in the neck after trauma results in the delayed rupture of the common carotid and internal jugular vein: a case report

Journal of Medical Case Reports

Zhong Sheng Cao¹  Hui Yuan¹  Yan Luo¹ 

[1] Department of Otorhinolaryngology, The Second Affiliated Hospital of Soochow University, Soochow, Jiangsu Province, China

关键词: Trauma;    Internal jugular vein;    Foreign body;    Common carotid;   

Others  :  1195140
DOI  :  10.1186/1752-1947-7-13

 received in 2012-07-22, accepted in 2012-11-07,  发布年份 2013

【 摘 要 】

Introduction

Trauma and foreign body residue occurring in different settings are common in the neck. Some small injuries go unrecognized, and vascular injuries caused by the sharp penetrating trauma of a foreign body are very dangerous. Without early diagnosis and treatment, foreign body residue remains a major cause of mortality.

Case presentation

A six-cm piece of wooden chopstick was not initially detected in the neck of a 24-year-old Chinese man presenting with a slight bleeding wound after a brawl accident. Three days later, the patient had an expanding neck hematoma and shortness of breath. Computed tomography revealed a dense shadow in the soft tissue of the left side of the patient’s neck, and surgical exploration found that a residual broken chopstick had resulted in a delayed rupture of the common carotid artery and internal jugular vein.

Conclusion

A residual foreign body should be seriously considered after neck trauma because it can result in a lethal hemorrhage originating from a delayed rupture of blood vessels.

【 授权许可】

   
2013 Luo et al.; licensee BioMed Central Ltd.

【 图 表 】

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