Arrow injury in the neck

Case contributed by Dr 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 injury the left lung apex with small traumatic pneumatocele and left hemothorax. The arrow barely misses the left subclavian and vertebral arteries artery, 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 so surrounding hemorrhage to suggest active bleeding. 

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Case information

rID: 75268
Published: 24th Mar 2020
Last edited: 10th May 2020
Inclusion in quiz mode: Included
Institution: Tenwek Hospital

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