MANAGEMENT OF PENETRATING INJURY TO THORACIC INLET AND LOWER NECK WITH RETAINED FOREIGN BODY USING VIDEO ASSISTED THORACOSCOPIC SURGERY
Abstract
Penetrating neck and chest injuries are a common form of occupational injuries. We hereby report a unique case in which a metallic rod had penetrated the left chest and neck of a plastic factory worker. The patient was vitally stable when he presented to Emergency Room. Chest X-ray was performed and the patient was rushed to the operating room. VATS (video assisted thoracoscopic surgery) and neck dissection was done for retrieval of the metallic rod. On table, endoscopy was also done to rule out injury to oesophagus. No injury to vital structures was found and the subsequent recovery was uneventful.Keywords: VATS; penetrating injury; thoracic inlet; lower neckReferences
Mahmoodie M, Sanei B, Moazeni-Bistgani M, Namgar M. Penetrating neck trauma: Review of 192 cases. Arch Trauma Res 2012;1(1):14–8.
Nason RW, Assuras GN, Gray PR, Lipschitz J, Burns CM. Penetrating neck injuries: analysis of experience from a Canadian trauma centre. Can J Surg 2001;44(2):122–6.
Radjou AN, Uthrapathy M. Video-assisted thoracoscopy in trauma: Case report and review of literature. Lung India 2011;28(2):142–4.
Bergeron E, Lavoie A, Razek T, Belcaid A, Lessard J, Clas D. Penetrating thoracoabdominal injuries in Quebec: implications for surgical training and maintenance of competence. Can J Surg 2005;48(4):284–8.
Burack JH, Amulraj EA, O’Neill P, Brevetti G, Lowery RC. Thoracoscopic removal of a knife impaled in the chest. J Thorac Cardiovas Surg 2005;130(4):1213–4.
Goodman M, Lewis J, Guitron J, Reed M, Pritts T, Starnes S. Video-assisted thoracoscopic surgery for acute thoracic trauma. J Emerg Trauma Shock 2013;6(2):106–9.
Yu PS, Chan HH, Lau RW, Capili FG, Underwood MJ, Wan IY. Penetrating thoracic injury with retained foreign body: can video-assisted thoracic surgery take up the leading role in acute management? J Thorac Dis 2016;8(8):2247–51.
Williams CG, Haut ER, Ouyang H, Riall TS, Makary M, Efron DT, et al. Video-assisted thoracic surgery removal of foreign bodies after penetrating chest trauma. J Am Coll Surg 2006;202(5):848–52.
Jin J, Song B, Lei Y, Leng X. Video-assisted thoracoscopic surgery for penetrating thoracic trauma. Chin J Traumatol 2015;18(1):39–40.
Paci M, Ferrari G, Annessi V, De Franco S, Guasti G, Sgarbi G. The role of diagnostic VATS in penetrating thoracic injuries. World J Emerg Surg 2006;1:30.
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