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Traumatic pseudoaneurysm of the thyrocervical trunk.

¹Surgery Service, Charleston Veterans Administration Hospital, SC, USA.

Southern Medical Journal

|May 3, 2001

Summary

A stab wound to the neck

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Area of Science:

Vascular Surgery
Trauma Surgery
Emergency Medicine

Background:

Penetrating neck trauma, particularly to Zone I, poses significant risks to great vessels.
Early management often focuses on immediate wound care, potentially delaying diagnosis of vascular complications.

Observation:

A delayed pseudoaneurysm formation occurred in the thyrocervical trunk two months post-stab wound.
Diagnostic arteriography confirmed an active pseudoaneurysm originating solely from the thyrocervical trunk.

Findings:

Surgical intervention involving proximal and distal ligation of the thyrocervical trunk successfully treated the pseudoaneurysm.
This case represents the first reported instance of a thyrocervical trunk pseudoaneurysm resulting from a Zone I neck stab wound.

Implications:

Routine imaging of great vessels is crucial in managing all Zone I penetrating neck injuries.
Delayed pseudoaneurysm formation is a significant complication that necessitates thorough vascular assessment.

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