Arrow injury in the neck

Case contributed by Michael P Hartung

Presentation

Shot by an arrow in the neck.

Patient Data

Age: 20 years
Gender: Male
ct

Arrow injury in the base of the left neck, slightly injuring the left lung apex with a small traumatic pneumatocele and left hemothorax. The arrow barely misses the left subclavian and vertebral arteries, coursing over the top of the subclavian artery and just lateral to the vertebral artery. 

Photo

Example arrow type shown. 

Case Discussion

Arrow injury in the left neck which just barely avoids a devastating vascular injury of the subclavian artery. It is challenging to confirm this without careful window/leveling that is difficult to provide with this case, but the distal flow is intact and there is no surrounding hemorrhage to suggest active bleeding. 

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