Raja Kalaiarasi, Venkatesan Sithananda-Kumar, Ganesan Sivaraman, Alexander Arun
Department of ENT, Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry, India.
Department of ENT, Pondicherry Institute of Medical Sciences, Puducherry, India.
Iran J Otorhinolaryngol. 2019 Jan;31(102):65-68.
Penetration injury to the neck constitutes 5-10% of all trauma cases. Penetration of a foreign body into the trachea with subsequent impaction into the tracheoesophageal party wall is extremely rare. We present a patient with an unusual penetrating injury of the neck caused by a metallic foreign body embedded into the tracheoesophageal party wall, and its management.
A 35-year-old male presented to the emergency department with a history of accidental penetrating injury on his neck, with severe pain and bleeding from the wound entry site. On neck examination, there was an open wound, 0.5 × 0.5 cm in size, in the lower-third anterior aspect of the neck with surrounding neck swelling and tenderness. Computed tomography showed a radio-dense foreign body lodged in the tracheoesophageal party wall at the level of the second and third tracheal rings, which was removed successfully.
Impacted foreign body following a penetrating wound in the neck needs considerable assessment and appropriate management.
颈部穿透伤占所有创伤病例的5%-10%。异物穿透气管并随后嵌顿于气管食管壁极为罕见。我们报告一例因金属异物嵌入气管食管壁导致的不寻常颈部穿透伤患者及其治疗情况。
一名35岁男性因颈部意外穿透伤病史就诊于急诊科，伤口入口处剧痛且出血。颈部检查发现，颈部前下三分之一处有一个0.5×0.5厘米的开放性伤口，周围颈部肿胀并有压痛。计算机断层扫描显示，一个高密度异物嵌顿于气管食管壁的第二和第三气管环水平，随后成功取出。
颈部穿透伤后嵌顿的异物需要进行全面评估并采取适当治疗。
