Stab Wound of the Neck with Contralateral Hemo-Pneumothorax

Abstract A rare case of stab wound of the neck with contralateral hemo-pneumothorax with a mediastinal shift is presented. After tube thoracostomy and computed tomography, the patient had angiographic coil embolotherapy of transected internal mammary artery (IMA). Subsequently, neck exploration with...

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Bibliographic Details
Published in:The Journal of emergency medicine 2010-10, Vol.39 (4), p.e135-e138
Main Authors: Sharma, Om P., MD, Blaney, John, MD, Oswanski, Michael F., MD, Assi, Zak, MD, DiSalle, Robert, MD, Latocki, Victoria, PA-C
Format: Article
Language:English
Subjects:
Adult
Diagnosis, Differential
Emergency
hemothorax
Hemothorax - diagnosis
Hemothorax - etiology
Hemothorax - surgery
Humans
injury, penetrating
internal mammary artery
Male
Neck Injuries - complications
Neck Injuries - surgery
pneumothorax
Pneumothorax - diagnosis
Pneumothorax - etiology
Pneumothorax - surgery
stab wound
trauma
Wounds, Stab - complications
Wounds, Stab - surgery
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Summary:Abstract A rare case of stab wound of the neck with contralateral hemo-pneumothorax with a mediastinal shift is presented. After tube thoracostomy and computed tomography, the patient had angiographic coil embolotherapy of transected internal mammary artery (IMA). Subsequently, neck exploration with the repair of sternocleidomastoid was done. The patient underwent decortication on the 11th post-operative day for persistent residual hemothorax. IMA transection most often occurs from ipsilateral parasternal stab wounds and rarely from iatrogenic trauma. It is important to recognize the presentation of this rare entity as appropriate aggressive diagnostic and therapeutic interventions may be warranted.
ISSN:0736-4679
2352-5029
DOI:10.1016/j.jemermed.2007.04.008