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A successful surgical repair of a gunshot injury to the left common carotid artery without neurological deficiency: A case report

ABSTRACT:

Introduction and importance

Penetrating neck trauma is serious and has a high fatality rate, especially in individuals who suffer injuries to the common carotid artery. The mortality rates for penetrating neck trauma are estimated to be 3%–6%. Accidents that cause a lot of blood to flow, like being stabbed, shot, or hurt in a car accident, can cause a person to lose a lot of blood quickly and in a short amount of time, which can be fatal if not treated right away.

Clinical presentation

we present a 26-year-old young male patient with penetrating neck trauma caused by a gunshot. The gunshot entered the right sternocleidomastoid muscle at the level of the hyoid bone and exited the left sternocleidomastoid muscle on the mid side.

Clinical discussion

In a recent report on the management of major vascular injuries to the neck, carotid artery injuries accounted for about 17% of all patients presenting with penetrating neck injuries. In this case, previously published literature adds that carotid artery injury early surgical and primary repair in young patients has a good outcome.

Conclusion

Considering the high morbidity and mortality associated with penetrating neck injuries, In young patients, they can be successfully managed with early surgical and primary repair with a good outcome. Highlights • Mostly, carotid artery injuries are associated with neurological deficiency.• The gold-standard approach for assessing suspected neck vascular damage is CT angiography.• Carotid artery injury early primary surgical repair in young patients has a good outcome.

SUBMITTER: Ali A

PROVIDER: S-EPMC9287765 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

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