Stab wounds of the neck in children

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Abstract

BACKGROUND: Stab wounds in children are very rare and are described as isolated cases. Sharp metal foreign bodies in the neck pose a real threat to trachea, esophagus, large vessels and nerves. The risk of damage is still present when specialists try to remove foreign bodies, especially if they are fixed.

CLINICAL CASES DESCRIPTION: The aim of the study is to demonstrate outcomes after treating patients with neck injuries. We have two observations of stab wounds in the neck (with a knitting needle and a sewing needle) in children. To put diagnosis, we used clinical, laboratory, radiation and endoscopic methods. Surgery was done under general anesthesia, and the knitting needle and the sewing needle were removed from deep structures of the neck. Patients were discharged from the hospital in satisfactory state.

CONCLUSION: The described observations may be of interest to specialists because we could remove foreign bodies penetrated into the neck without damage to internal organs, vessels and nerves. To prevent complications, foreign bodies in the neck have to be removed by experienced specialists in an operating room under general anesthesia with artificial ventilation. In case of complications, radical surgery is indicated.

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About the authors

Aitbai A. Gumerov

Bashkir state medical university

Author for correspondence.
Email: prof.gumerov@mail.com
ORCID iD: 0000-0001-6183-8286
SPIN-code: 7615-7568

MD, Dr. Sci. (Medicine), Professor

Россия, Ufa

Ildar I. Galimov

Bashkir state medical university

Email: pedsurg@bk.ru
ORCID iD: 0000-0002-3970-9338
SPIN-code: 3353-2048

MD, Cand. Sci. (Medicine), Assoc. Professor

Россия, Ufa

Ramil A. Gumerov

Bashkir state medical university; Republican children clinical hospital, Ufa

Email: r.a.gumerov@gmail.com
ORCID iD: 0000-0001-9991-6630
SPIN-code: 4921-3280

MD, Dr. Sci. (Medicine)

Россия, Ufa; Ufa

Salavat A. Islamov

Bashkir state medical university

Email: islamovsalavat@rambler.ru
ORCID iD: 0000-0003-1349-791X
SPIN-code: 9517-5314

MD, Cand. Sci. (Medicine)

Россия, Ufa

Ildar I. Khidiyatov

Bashkir state medical university

Email: hidiatoff.ildar@yandex.ru
ORCID iD: 0000-0003-1749-795X
SPIN-code: 1174-8850

MD, Dr. Sci. (Medicine), Professor

Россия, Ufa

Aybulat K. Alibaev

Republican children clinical hospital, Ufa

Email: pedsurg@bk.ru
SPIN-code: 4374-8493

MD, Cand. Sci. (Medicine)

Россия, Ufa

Ildar O. Valitov

Bashkir state medical university

Email: valitovio@yandex.ru
ORCID iD: 0009-0004-3999-8717
SPIN-code: 8512-2674

MD, Cand. Sci. (Medicine)

Россия, Ufa

Sabina V. Kolodko

Republican children clinical hospital, Ufa

Email: gab.sabina04@gmail.com
SPIN-code: 9573-7401

MD

Россия, Ufa

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Supplementary files

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2. Fig. 1. Wounded neck with a knitting needle.

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3. Fig. 2. The needle tip is palpated in soft tissues of the upper third of the neck on the left.

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4. Fig. 3. Cervical spine x-ray: shadow of a metallic foreign body (pin), passing in the obliquely ascending direction (a — direct projection, b — lateral projection).

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5. Fig. 4. Removed knitting needle 75 mm long.

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6. Fig. 5. Plain X-ray of the neck in frontal and lateral projections: at the СIII–СIV level one can see the foreign body shadow — a sewing needle (a — direct projection, b — lateral projection).

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7. Fig. 6. Surgery: the stage of sewing needle removal.

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8. Fig. 7. Removed sewing needle.

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