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Eur J Cardiothorac Surg 2004;25:462
© 2004 Elsevier Science NL

Images in cardio-thoracic surgery

Non-fatal penetrating neck trauma

Kalyana C. Javangula*, Timotheos Kelpis, Anilkumar Mulpur, Vladimir Anikin

Cardiothoracic Surgery Department, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK

Received 21 October 2003; received in revised form 27 November 2003; accepted 1 December 2003.

* Corresponding author. Address: Flat 10, 218 Chapeltown Road, Leeds LS7 4HZ, UK. Tel.: +44-113-262-0771; fax: +44-113-280-92
e-mail: kalyanachakravarthi{at}hotmail.com

Key Words: Trachea • Oesophagus • Great vessels • Anaesthesia

A 38-year-old male patient was brought with alleged self-inflicted injury to neck using kitchen knives. He was a known epileptic with attempted suicides in the past. The two knives were in position at the time of his arrival (Figs. 1 and 2) . Bronchoscopy ruled out tracheal injury. A transverse incision connecting both entry points was made under anaesthesia and the knives were removed. There was no injury to great vessels. Oesophagoscopy revealed a tear caused by knife on side of the neck (K2). The tear was repaired. Recovery was uneventful. Subsequently he was diagnosed as having postictal psychosis.



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  		Fig. 1. Patient with knives (K1, K2) in position when arrived at the hospital. K2 caused the oesophageal tear.

 


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  		Fig. 2. The radiographs of the patient showing knives (K1, K2) in position.

 




This Article
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Kalyana C. Javangula
Timotheos Kelpis
Vladimir Anikin
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Google Scholar
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Right arrow Articles by Javangula, K. C.
Right arrow Articles by Anikin, V.
Related Collections
Right arrow Anesthesia
Right arrow Trachea and bronchi
Right arrow Great vessels
Right arrow Esophagus - other

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