Multiple-Projectile Penetrating Neck Injury from a Modified Nail-Containing Gas Pistol

Yıl 2014, Cilt: 31 Sayı: 3, 254 - 256, 01.07.2014

Dimitar Dimitrov Pazardzhikliev

Öz

Background: Penetrating neck injuries result from missiles
and stab wounds. A gas pistol is a non-lethal weapon for selfdefence.
Case Report: We present a case where the use of a modified gun led
to multiple injuries in a single shot. Four projectiles were embedded
in the neck, one in the larynx and three in the cervical spine. The first was removed via a combined external and endoscopic approach,
while the rest were put on follow-up.
Conclusion: The reported case shows that damage from modified gas
pistols, although rarely life threatening, may cause long term discomfort
and diminished quality of life

Anahtar Kelimeler

Gas pistol, neck injury, penetrating

Kaynakça

• 1. van Deurzen DFP, van As AB, Verleisdonk EJMM. Is routine angiography necessary in patients with a gunshot wound to the neck? A retrospective analysis. Eur J Trauma 2002;28:90-4. [CrossRef]
• 2. Biffl WL, Moore, EE, Rehce DH, Offner PJ, Franciose RJ, Burch JM. Selective management of penetrating neck trauma based on cervical level of injury. Am J Surg 1997;174:678-82. [CrossRef]
• 3. Mansour MA, Moore EE, Moore FA, Whitehill TA. Validating the selective management of penetrating neck wounds. Am J Surg 1991;162:517-21. [CrossRef]
• 4. Vassiliu P, Baker J, Henderson S, Alo K, Velmahos G, Demetriades D. Aerodigestive injuries of the neck. Am Surg 2001;67:75-9.
• 5. Klyachkin ML, Rohmiller M, Charash WE, Sloan DA, Kearny PA. Penetrating injuries of the neck: Selective management evolving. Am Surg 1997;63:184-9.
• 6. Gulsen A, Sonmez E, Aydemir F, Caner H, Altinors N. Settled nail injury in the corpus of the seventh cervical vertebra - case report. Neurol Med Chir 2007;47:415-8. [CrossRef]
• 7. Sasaoka Y, Kamada K, Matumoto M, Ueda Y, Iwasaka T, Hukushima T, et al. Penetrating injury of the head, neck and chest by a nail-gun: A case report. No Shinkei Geka 1995;23:1099-104.
• 8. Waters RL, Sie IH. Spinal cord injuries from gunshot wounds to the spine. Clin Orthop Relat Res 2003;408:120-5. [CrossRef]
• 9. Yoshida GM, Garland D, Waters RL. Gunshot wounds to the spine. Orthop Clin North Am 1995;26:109-16.
• 10. Shaheen F, Singh M, Nazir P. MRI-induced migration of a foreign body into the spinal canal: Are present guidelines safe? Am J Radiol 2008;191:72-3.