Abstract
Gunshot injuries can be very threatening to the patient's life. A bullet in the neck area after a gunshot usually causes tissue damage and bleeding because of the presence of vital structures in this region. We present the case of a young man that arrived emergently to our hospital because of gunshot injury in the right neck area and the right shoulder. He was hemodynamically stable, with no laryngeal edema or hematoma. The cervical radiography showed a foreign body lying on the right side of the spine, in front of the third cervical vertebra. The CT scanning revealed a metallic foreign body, lying between the internal carotid artery and the external carotid artery, without causing bleeding in the surrounding tissues. A bullet was also found in the right shoulder area. A barium esophagography showed no contrast agent escape. An emergency operation was performed, under general anesthesia. The metallic bullet was found under an enlarged submandibular lymph node and was removed. The bullet removal caused vessel intraoperative bleeding, that was repaired satisfactory. No postoperative complications were noticed and patient was discharged home.
Highlights
Gunshot wounds are not the commonest, but leading cause of injury, following automobile accidents and falls
We present the case of a young man that arrived emergently to our hospital because of gunshot injury in the right neck area and the right shoulder
Penetrating neck trauma needs a careful management that depends on the cause of injury, the extent of damage, the appearance of complications and indications for immediate surgical exploration or not
Summary
Gunshot wounds are not the commonest, but leading cause of injury, following automobile accidents and falls. The severity of injury resulting from gunshot wounds varies according to the weapon used, the distance from which the patient is shot as well as the entry point of injury and the type of injury (perforating, hemorrhagic etc). They can cause functional and aesthetic consequences for the patient, even death. Gunshot injuries to the neck area are associated with high morbidity and mortality due to the complex anatomy and presence of various vital structures in this region[1-10]. International Journal of Science and Research Archive, 2021, 03(02), 146–150 We present a case of gunshot injury to the neck area in which the bullet’s trajectory passes through the neck region and especially between the carotid arteries, without damaging any vital structures
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