Unusual perforating foreign body in the neck

Area of Science:

• Otolaryngology
• Head and Neck Surgery
• Trauma Surgery

Background:

• Penetrating neck injuries are common, but perforating foreign bodies, especially organic materials like bamboo, are rare.
• This case highlights a unique instance of a bamboo foreign body causing a perforating injury to the neck.

Observation:

• A 36-year-old male presented with a bamboo measuring 4.6 x 0.09 ft. that had perforated his neck from left to right.
• The patient sustained the injury accidentally while driving a vehicle.
• Crucially, the great vessels and airway were spared despite the extensive perforation.

Findings:

• Surgical exploration and removal of the bamboo foreign body were performed under general anesthesia.
• An elective tracheostomy was necessary due to difficult intubation.
• Hemostasis was achieved, and the wound was closed in layers with drain tubes.

Implications:

• This case underscores the possibility of survival and successful management even with large, unusual penetrating neck injuries.
• Prompt surgical intervention is critical for foreign body removal and preventing complications.
• The case emphasizes the need for careful clinical examination and management in otolaryngology and head and neck surgery.