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Dennis Hundersmarck1,2, Paul J van Koperen1, Loek P H Leenen1
1Universitair Medisch Centrum Utrecht, afd. Heelkunde, Utrecht.
Nederlands Tijdschrift Voor Geneeskunde
|August 20, 2019
Summary
Selective non-operative management for penetrating neck injuries (PNIs) is common. This case series highlights PNI diagnosis and treatment, including esophageal and jugular vein injuries, for Dutch physicians.
Area of Science:
- Trauma Surgery
- Emergency Medicine
- Surgical Critical Care
Background:
- Penetrating neck injuries (PNIs) are complex and potentially life-threatening, often resulting from stabbing or self-harm.
- Selective non-operative management is increasingly common for PNIs.
- Dutch clinical practice utilizes diagnostic and treatment algorithms from high-volume trauma centers in South Africa and North America.
Observation:
- Three patients with PNIs were analyzed.
- Two patients presented with mild physical signs, necessitating further diagnostic investigation.
- One patient was hemodynamically unstable, requiring immediate surgical exploration.
Findings:
- A penetrating esophageal injury was identified and repaired in one patient.
- A partial Horner syndrome was noted in another patient with no underlying injuries found.
- A penetrating injury to the jugular vein was discovered and repaired in the hemodynamically unstable patient.
Implications:
- This case series provides valuable insights into the diagnosis and management of PNIs.
- It aims to benefit Dutch physicians encountering these challenging injuries.
- The findings underscore the importance of tailored diagnostic and treatment approaches for PNIs.