Md Majid Anwer; Abdul Hakeem; Deepak Kumar; Anurag Kumar; Abhishek Kumar
Volume 12, Issue 2 , April 2024, , Pages 95-98
Abstract
Airgun injuries are prevalent in the pediatric population. The present study described a case of air gun pelletinjury to the left carotid artery and its successful management. A 25-year-old man presented to the emergencydepartment complaining that his son had accidentally injured him with an air gun ...
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Airgun injuries are prevalent in the pediatric population. The present study described a case of air gun pelletinjury to the left carotid artery and its successful management. A 25-year-old man presented to the emergencydepartment complaining that his son had accidentally injured him with an air gun pellet while playing. TheX-ray cervical spine revealed a single foreign body (pellet) located directly anterior to the C5-C6 vertebra. ACT angiography of the neck showed a spherical hyperdense object just anterior to the C6 vertebral body onthe left side, 3 mm posteromedial to the left common carotid artery, which was most likely a pellet foreignbody. The patient was sent to operation theatre (OT) for exploration. There was a rent in the internal carotidartery with active bleeding. After exerting both proximal and distal control, the rent was closed. Close air guninjury could result in gunshot wounds, as in the present case. Plain X-rays in AP and lateral view are required.Nonoperative management could be employed in a restricted group of patients with satisfactory outcomes.Those who have vascular involvement will require surgical intervention.
Christian David Weber; Philipp Kobbe; Christian Herren; Andreas H. Mahnken; Frank Hildebrand; Hans-Christoph Pape
Volume 5, Issue 1 , January 2017, , Pages 53-57
Abstract
While blunt trauma of the head and neck are a common pattern of injury, significant problems related to the prompt diagnosis and optimal management of traumatic artery injuries have been reported in the literature. While patients with major artery injuries might develop hemorrhagic shock very rapidly, ...
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While blunt trauma of the head and neck are a common pattern of injury, significant problems related to the prompt diagnosis and optimal management of traumatic artery injuries have been reported in the literature. While patients with major artery injuries might develop hemorrhagic shock very rapidly, patients with blunt cerebrovascular injuries (BCVI) can present asymptomatic, but complications like basilar territory infarction, cortical blindness and death may occur. We report the life- and limb-saving management in a 57-year-old hemodynamically unstable trauma patient. The individual developed hemorrhagic shock, and other major complications, including cortical blindness, related to a posterior circulation stroke. Full recovery was achieved by immediate endovascular prosthesis for subclavian artery (SA) rupture and stenting of a traumatic vertebral artery occlusion. Endovascular and alternative treatment options are discussed and the management of subsequent sequelae associated with aggressive anticoagulation in trauma patients is reviewed, including intracranial, abdominal and other sites of secondary hemorrhage.
