A Tale of Two Mechanisms: Blunt Carotid Artery Injury in a Stabbing Victim

Rossie, Julie

doi:10.1016/j.jen.2009.04.007

Cited by 1 publication

(2 citation statements)

References 2 publications

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“…In that instance, the injury was in the ICA well away from the stab wound and probably unrelated to the penetrating force. The authors hypothesise that their patient may have sustained the BCI because the assailant hyper-extended his neck and rotated the head for greater access to the neck when inflicting the stab wounds 4. Similar neck movements might have occurred in our patient from the moment his neck was pierced by the stick.…”

Section: Discussionsupporting

confidence: 54%

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Blunt carotid injury from a penetrating stick: an unexpected injury

Wijeyaratne

Weerasinghe²,

Cassim³

2010

Case Reports

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SummaryUnattended blunt carotid injury (BCI) has stroke high risk of stroke and screening based on injury probability is recommended. Penetrating forces are not considered high risk and concomitant BCI would go unattended. The authors report a case of a 48-year-old man who fell out of a tree on to an upright stick that penetrated his lateral neck. He presented with impalement, which was removed after surgically laying open the entire wound. The carotid sheath had been breached and the internal jugular vein was bleeding. The adjacent common carotid artery was intact and pulsating with no external evidence of injury. However, injury proximity led to vascular imaging that demonstrated intimal disruption without thrombus or stenosis. Although he remained asymptomatic on heparin, the injury progressed to cause significant lumen stenosis. Endovascular stenting re-established the vessel lumen and he remains well on aspirin 9 months later. Awareness that penetrating neck trauma may cause BCIs is important. BACKGROUND

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Section: Discussionsupporting

confidence: 54%

“…The only report in the literature of a BCI by a penetrating force is that of stabbing by a sharp knife 4. In that instance, the injury was in the ICA well away from the stab wound and probably unrelated to the penetrating force.…”

Section: Discussionmentioning

confidence: 99%