Kantipur Hospital, Tinkune, Kathmandu, Nepal.
B.P. Eye Foundation, Hospital for Children, Eye, ENT and Rehabilitation Services, Lokanthali, Bhaktapur, Nepal.
JNMA J Nepal Med Assoc. 2022 Apr 15;60(248):406-409. doi: 10.31729/jnma.7327.
The gunshot neck injury is an emergency and must be addressed immediately. However, as our case report, a long-standing retained foreign body (firearm) in the deep neck is rare. Surgical removal of a long-standing foreign body is challenging for the operating surgeon. A 36-year-old male with a history of a firearm injury to the neck dating 16 years back with complaints of recent onset of pain was evaluated. A computed tomography scan of the neck showed a metallic foreign body located in close proximity to the right common carotid artery. Neck exploration was performed under general anaesthesia, and the foreign body was removed without complications. The patient has recovered following the intervention and has resumed his normal activities. The use of methylene blue helps to locate the foreign body during surgery. However, the choice of intervention for a stable patient with a penetrating neck injury remains based on cases.
case reports; firearms; foreign body; neck.
摘要：枪伤颈部是一种急症，必须立即处理。然而，正如我们的病例报告所述，深部颈部长期存在的异物（枪支）是罕见的。长期异物的手术取出对手术医生来说是具有挑战性的。一名 36 岁男性，16 年前颈部曾有枪支受伤史，近期出现疼痛症状，前来就诊。颈部 CT 扫描显示有一个金属异物紧邻右侧颈总动脉。在全身麻醉下进行颈部探查，成功取出异物，无并发症。术后患者恢复良好，已恢复正常活动。手术中使用亚甲蓝有助于定位异物。然而，对于稳定的穿透性颈部损伤患者，介入治疗的选择仍基于具体情况。
关键词：病例报告；枪支；异物；颈部。
