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Bilateral pneumothoraces secondary to an isolated midline zone 1 cervical stab injury
Srikanth Kasturi1, Arvind Muthirevula1, Amulya Siddarameshwar Gadennavar1
1Department of Thoracic Surgery, Mazumdar Shaw Medical Center, 258/A, Hosur Road, Bommasandra Industrial Area, Bengaluru, Karnataka 560099 India.
Abstract:
Penetrating neck trauma, though rare, carries a high morbidity and mortality risk if not recognized promptly, due to the presence of vital neurovascular and airway elements within a closed compartment. We describe the unique presentation of a high zone 1 anterior midline cervical stab injury with bilateral large pneumothoraces and extensive pneumomediastinum. Understanding the respiratory mechanics and a high clinical suspicion will help to recognize such complications of tracheobronchial injuries and their timely management is key to salvage of these patients.
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