Meherzi Samia, Jerbi Leila, Koury Ahmed, Zahmoul Asma
ENT department, Sidi Bouzid Hospital, Tunisia; University of Sousse, Faculty of Medicine of Sousse, Tunisia.
ENT department, Sidi Bouzid Hospital, Tunisia; University of Sousse, Faculty of Medicine of Sousse, Tunisia.
Int J Surg Case Rep. 2024 Oct;123:110170. doi: 10.1016/j.ijscr.2024.110170. Epub 2024 Aug 16.
Penetrating neck injuries pose a unique challenge due to the limited space for controlling bleeding and performing repairs. This often leads to high mortality rates when major blood vessels are severed, and can also result in neurological damage.
We present a case of a penetrating injury to the internal jugular vein caused by a dislodged angle grinder disc, a rare mechanism of injury with potentially fatal consequences. The patient underwent emergency surgery to explore the wound and ligate the injured veins. After the operation, the patient fully recovered with no neurological deficits and did not require further treatment.
Angle grinders are well-known for causing severe penetrating neck injuries due to their high-speed operation. Venous vascular wounds can be controlled with ligation and have a good prognosis. Nerve injuries are common. Protective measures should be taken in these patients.
This case highlights the significant risk of injury associated with disc grinders, and the importance of seeking prompt specialized medical attention.
由于控制出血和进行修复的空间有限，颈部穿透伤带来了独特的挑战。当主要血管被切断时，这通常会导致高死亡率，并且还可能导致神经损伤。
我们报告一例因角向磨光机砂轮片飞脱导致颈内静脉穿透伤的病例，这种损伤机制罕见，但可能产生致命后果。患者接受了急诊手术，探查伤口并结扎受伤静脉。术后，患者完全康复，无神经功能缺损，无需进一步治疗。
角向磨光机因其高速运转而导致严重颈部穿透伤，这是众所周知的。静脉血管伤口可通过结扎进行控制，预后良好。神经损伤很常见。应对这些患者采取保护措施。
本病例突出了与角向磨光机相关的重大损伤风险，以及及时寻求专业医疗救治的重要性。
