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Veins of Head and Neck01:19

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The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
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Unusual foreign body in the neck.

D S Sardana1, P Sardana

  • 1Department of ENT G.S.V.M. Medical College, Kanpur, U.P.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|November 3, 2012
PubMed
Summary
This summary is machine-generated.

A metallic knife fragment was found in a patient's neck, presenting an unusual case due to a healed wound and lack of initial injury history. Delayed diagnosis occurred because the patient was asymptomatic.

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Area of Science:

  • Medical Case Reports
  • Surgical Pathology
  • Trauma Management

Background:

  • Foreign bodies in the neck can present diagnostic challenges.
  • Unexplained neck wounds and asymptomatic patients may indicate retained foreign objects.
  • Metallic foreign bodies require careful surgical consideration.

Purpose of the Study:

  • To report an unusual case of a retained metallic knife fragment in the neck.
  • To highlight diagnostic difficulties in cases of healed neck wounds with foreign bodies.
  • To emphasize the importance of thorough investigation in asymptomatic patients with prior trauma.

Main Methods:

  • Case study of a patient presenting with a retained metallic foreign body.
  • Diagnostic imaging and surgical exploration were utilized.
  • Review of clinical presentation and patient history.

Main Results:

  • A broken metallic knife end was identified as a foreign body within the neck.
  • The entry wound was healed, and the patient was asymptomatic prior to diagnosis.
  • Diagnosis was significantly delayed due to the lack of a clear injury history and symptoms.

Conclusions:

  • Retained metallic foreign bodies in the neck can be asymptomatic with healed wounds.
  • Diagnostic delays are common in such unusual presentations.
  • Thorough clinical evaluation and imaging are crucial for identifying occult foreign bodies.