Department of Surgery, Medical College of Georgia at Augusta University Medical Center, Augusta, GA, USA.
Am Surg. 2023 Aug;89(8):3568-3569. doi: 10.1177/00031348231162703. Epub 2023 Mar 13.
Penetrating neck trauma poses a significant risk to multiple vital structures, which if not treated immediately may lead to devastating consequences. Our patient presented after sustaining self-inflicted stab wounds to the neck. He was taken to the operating room for a left neck exploration and median sternotomy, revealing a distal tracheal injury. Following repair of the tracheal injury, an intraoperative esophagogastroduodenoscopy demonstrated a full-thickness esophageal injury 15 cm proximal to the tracheal injury. Both injuries were the result of separate stab entries originating from the same external midline wound. To our knowledge, this case report is unique in bringing this circumstance to the literature, demonstrating the importance of full intraoperative examination to assess for concomitant wounds in stab injuries after the initial pathology has been found and the initial stab trajectory understood.
穿透性颈部创伤对多个重要结构构成重大风险，如果不立即治疗，可能会导致灾难性后果。我们的患者因颈部自伤性刺伤而来就诊。他被送往手术室进行左颈部探查和正中胸骨切开术，结果显示远端气管损伤。在修复气管损伤后，术中食管胃十二指肠镜检查显示气管损伤近端 15 厘米处有全层食管损伤。这两个损伤都是源自同一外部中线伤口的两个单独刺伤入口的结果。据我们所知，该病例报告是唯一将这种情况纳入文献的报告，它强调了在发现初始病变并了解初始刺伤轨迹后，对刺伤进行全面术中检查以评估伴随性伤口的重要性。
