Arrow injury to the neck

Case contributed by Dr Michael P Hartung

Presentation

Shot by arrow.

Patient Data

Age: 35 years
Gender: Male
CT

Arrow enters cranial aspect right shoulder anterior to the acromion and clavicle, deep to subclavian artery, tip fracturing the third rib resulting in a small amount of extrapleural hemorrhage and underlying pulmonary contusion. 

Photo

Example type of arrow shown. 

Case Discussion

Traumatic arrow injury which barely misses the subclavian artery. Unfortunately, this arrow was poisoned with snake venom which is regarded as highly toxic 1

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