Left sternocleidomastoid intramuscular haemorrhage from penetrating trauma

Case contributed by Dr Steve Lau

Presentation

27 y.o. male presenting to ED with a left sided stab wound to the neck.

Patient Data

Age: 27
Gender: Male

CTA neck demonstrates a markedly enlarged left sternocleidomastoid muscle expanded in a fusiform configuration particularly in its mid-section consistent with a intramuscular haematoma. There is a tiny round focus of contrast blush within the muscle intimately associated with a tiny vessel suggestive of active bleeding (Image 85 of 130) . The intramuscular gas locules are consistent with a history of penetrating injury.

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Case Information

rID: 28436
Case created: 25th Mar 2014
Last edited: 15th Jul 2016
System: Head & Neck
Inclusion in quiz mode: Included

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