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A Rare Case Report of Impacted Foreign Body (Sewing Needle) in Upper Neck
Ginni Datta1, Gurchand Singh1, Himani Singh1
1Department of Otorhinolaryngology, Maharishi Markandeshwar (Deemed to be University), Ambala, Haryana, India.
The Rationale:
A 19-year-old female presented to the Otorhinolaryngology Department.
Patient Concerns:
Pain over the right side of the neck below the angle of the mandible following a fall on a pin cushion after a fight with her brother. She reported that the wound might have been caused by a sewing needle lodged in the pin cushion.
Diagnosis:
X-ray soft-tissue neck lateral view revealed a radiopaque linear shadow on the right side of the neck at the level of the C1-C2 vertebrae. On contrast-enhanced computed tomography, a linear (needle-like) foreign body at the level of C1-C2 was approximately 1.6 cm deep from the skin. The internal jugular vein seemed to be compressed between the needle and vertebrae.
Treatment:
Foreign body was explored and removed under general anaesthesia by an open lateral cervical approach.
Outcomes:
The patient's postoperative recovery was uneventful.
Take-Away Lesson:
Due to early diagnosis, management, and a team of experienced surgeons, anaesthesiologists, and support staff, any morbidity or mortality was avoided.
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