A double jeopardy: transection of the aero-digestive tract after penetrating neck trauma
Pietro Fransvea, Zamira Keyser
The Pan African Medical Journal. 2018;30:185. doi:10.11604/pamj.2018.30.185.14960

Create an account  | Log in
PAMJ Conf Proceedings Supplement 2
"Better health through knowledge sharing and information dissemination "

Images in medicine

A double jeopardy: transection of the aero-digestive tract after penetrating neck trauma

Cite this: The Pan African Medical Journal. 2018;30:185. doi:10.11604/pamj.2018.30.185.14960

Received: 24/01/2018 - Accepted: 07/05/2018 - Published: 28/06/2018

Key words: Penetreting trauma, areodigestive tract, surgery

© Pietro Fransvea et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/30/185/full

Corresponding author: Pietro Fransvea, Faculty of Medicine and Psychology, "Sapienza" University of Rome, St Andrea’s Hospital, Italy (pietro.fransvea@gmail.com)


A double jeopardy: transection of the aero-digestive tract after penetrating neck trauma

Pietro Fransvea1,&, Zamira Keyser2

 

1Faculty of Medicine and Psychology, "Sapienza" University of Rome, St Andrea’s Hospital, Italy, 2Trauma Unit, Tygerberg Hospital Cape Town, South Africa

 

 

&Corresponding author
Pietro Fransvea, Faculty of Medicine and Psychology, "Sapienza" University of Rome, St Andrea’s Hospital, Italy

 

 

Image in medicine    Down

A 32-year-old male patient presented to emergency department after sustained gunshot injury to the neck. Patient according to the advanced trauma life support (A.T.L.S.®) protocol appeared stable. The patient complained of dysphagia and odynophagia. Local examination revealed a gunshot entrance wound the left posterior neck triangle and no exit wound. A cervical bruising, subcutaneous emphysema was also noted. CT angiography of neck revealed a cut off of the right vertebral artery and extensive surgical emphysema which was suspicious for injury either the pharynx, oesophagus or trachea (A). A contrasted swallow revealed contrast extravasation consistent with hypopharyngeal/oesophageal injury (B). Given these findings, the patient was shifted to the operating room were a primary repair of the oesophagus and trachea was done with sternocleiod and omoiodeus muscle flap (A & B). Gunshot wound are still common worldwide especially in areas with high levels of criminal activities, gangsterism and lawlessness. In the past few years there has been a decline in the number of gunshot wounds seen at most major hospital but penetrating neck injuries are still commonly seen. Although many are minor injuries, they may deceptive in appearance and life threatening and the morbidity and mortality associated with blood loss and aerodigestive injuries remain significant.

 

 

Figure 1: (A) imaging findings: extensive surgical emphysema contrast extravasation consistent with hypopharyngeal/oesophageal injury; (B) surgical findings: oesophagus and trachea transection

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


The Pan African Medical Journal articles are archived on Pubmed Central. Access PAMJ archives on PMC here

Volume 30 (May - August 2018)

Article tools

PDF in process
Log in to comment
Contact the corresponding author
Download to Citation Manager
EndNote
Reference Manager
Zotero
BibTex
ProCite


This article authors

On Pubmed
On Google Scholar

Navigate this article

Rate this article

Altmetric

PAMJ is a member of the Committee on Publication Ethics
Next abstract

PAMJ is published in collaboration with the African Field Epidemiology Network (AFENET)
Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, Ulrichsweb, More to come . Member of COPE.

ISSN: 1937-8688. © 2018 - Pan African Medical Journal. All rights reserved