Abstract
Fall from height is commonly associated with long bones fractures or neurological compromised outcome. On the other hand, penetrating neck injury is linked to life threatening complications especially when the injury involves major blood vessels, spinal cord, cervical spines and aerodigestive tracts. However, in some rare circumstances, a patient may suffer both the eventful fall from height complicated with penetrating neck injury. We report a patient who presented with a wooden stick passing through the lateral side of his neck after an episode of fall. He survived without any residual complications. Keywords: Fall; penetrating neck injury. DOI: http://dx.doi.org/10.3329/bjms.v10i2.7808 Bangladesh Journal of Medical Science Vol.10 No.2 Apr’11 pp.125-128
Highlights
Neck injuries carry high risk of morbidity and mortality
The severity depends on few factors including massive blood loss due to injury to the major blood vessels namely the carotid arteries and jugular veins, upper airway obstruction which can be due to edema, hematoma or emphysema that might compress the airway
The severity of injury depends on many factors including the mechanism of injury, the object that cause or used, the direction of the wound and the power or the force that push the object towards the neck
Summary
Neck injuries carry high risk of morbidity and mortality. The severity depends on few factors including massive blood loss due to injury to the major blood vessels namely the carotid arteries and jugular veins, upper airway obstruction which can be due to edema, hematoma or emphysema that might compress the airway. A fall from height complicated by penetrating neck injury may increase the risk as the patient may suffer the combination of both complications. The complexity of the neck structures itself has made the neck exploration impose additional risk especially if the foreign body penetration has gone too deep or lead to the distortion of the normal anatomy
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