Penetrating neck trauma with common carotid artery injury caused by a percussive drill: A case report

About an unusual penetrating cervical wound:Iron bar

Introduction

The majority of cervical wounds are linked to aggressions and attempted autolysis by knives or firearms.

Case presentation

the story is about a 35 -year-old man admitted to the emergency room for a penetrating cervical wound following an accidental fall in the workplace. The extremely long iron bar (concrete)has penetrated its neck on the right side.upon admission, the patient was conscious,hemodynamically and respiratory stable without sensory-motor deficit.

Surgical exploration is urgently decided under general anesthesia, from wich the foreign body is successfully removed.A follow -up examination at 4 months was without particularity.

Discussion

Penetrating neck injuries caused by objects such as rods or iron bars pose a significantly high risk of serious neurological damage.

Penetrating neck injuries can be life-threatening and functional.the extent of the lesions must be assessed precisely before removing the foreign body.

Conclusion

we report an exceptional case of a penetrating neck wound caused by a concrete iron bar.treatment should always be multidisciplinary and giving priority to vital structures and function.

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The majority of cervical wounds are linked to aggressions and attempted autolysis by knives or firearms.

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The management of trauma to the penetrating neck has gone from compulsory exploration of the neck to selective management.

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The care is multidisciplinary because it calls upon several stakeholders to know: the surgeon of head and neck, vascular surgeon and anesthesiologist and only an early appropriate treatment can reduce the sequel.