Email this article 
Stab wounds of the neck in children
- Authors: Gumerov A.A.1, Galimov I.I.1, Gumerov R.A.1,2, Islamov S.A.1, Khidiyatov I.I.1, Alibaev A.K.2, Valitov I.O.1, Kolodko S.V.2
-
Affiliations:
- Bashkir state medical university
- Republican children clinical hospital, Ufa
- Issue: Vol 28, No 3 (2024)
- Pages: 325-331
- Section: CASE REPORTS
- URL: https://jps-nmp.ru/jour/article/view/741
- DOI: https://doi.org/10.17816/ps741
- ID: 741
Cite item
Open Access
Access granted
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.
Keywords
Full Text
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
Russian Federation, UfaIldar 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
Russian Federation, UfaRamil 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)
Russian Federation, Ufa; UfaSalavat A. Islamov
Bashkir state medical university
Email: islamovsalavat@rambler.ru
ORCID iD: 0000-0003-1349-791X
SPIN-code: 9517-5314
MD, Cand. Sci. (Medicine)
Russian Federation, UfaIldar 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
Russian Federation, UfaAybulat K. Alibaev
Republican children clinical hospital, Ufa
Email: pedsurg@bk.ru
SPIN-code: 4374-8493
MD, Cand. Sci. (Medicine)
Russian Federation, UfaIldar O. Valitov
Bashkir state medical university
Email: valitovio@yandex.ru
ORCID iD: 0009-0004-3999-8717
SPIN-code: 8512-2674
MD, Cand. Sci. (Medicine)
Russian Federation, UfaSabina V. Kolodko
Republican children clinical hospital, Ufa
Email: gab.sabina04@gmail.com
SPIN-code: 9573-7401
MD
Russian Federation, UfaReferences
- Vick LR, Islam S. Adding insult to injury: Neck exploration for penetrating pediatric neck trauma. Am Surg. 2008;74(11):1104–1106.
- Kim MK, Buckman R, Szeremeta W. Penetrating neck trauma in children: an urban hospital's experience. Otolaryngol Head Neck Surg. 2000;123(4):439–443. doi: 10.1067/mhn.2000.109760
- Britt L, Peyser M. Penetrating and blunt neck trauma. In: Feliciano DV, Mattox KL, Moore EE, editors. Trauma. 4th ed. McGraw-Hill; 2000. P. 437–450. doi: 10.1067/mva.2001.111692
- Gonzalez R, Falimirski M, Holevar M, Turk B. Penetrating zone II neck injury: Does dynamic computed tomographic scan contribute to the diagnostic sensitivity of physical examination for surgically significant injury? A prospective blinded study. J Trauma Inj Infect Crit Care. 2003;54(1):61–65. doi: 10.1097/00005373-200301000-00008
- Carol AL, Hanson MS, Smith RN. Penetrating neck injuries in children. J Trauma Nursing. 2007;14(1):12–16. doi: 10.1097/01.JTN.0000264138.25642.63
- Abdelmasasih M, Kayssi A, Roche-Nagle G. Penetrating paediatric neck trauma. BMJ Case Rep. 2019;12(5):e226436. doi: 10.1136/bcr-2018-226436
- Munera F, Cohn S, Rivas L. Penetrating injuries of the neck: Use of helical computed tomographic angiography. J Trauma Inj Infect Crit Care. 2005;58(2):413–418. doi: 10.1097/01.ta.0000141892.07192.55
- Korovkina EN. Neck injuries. N.I. Pirogov J Surg. 2014;(11):92–94. EDN: RISFCX
- Abakumov MM. Multiple and concomitant injuries of the neck, chest, abdomen. Moscow: Binom; 2013. 105 р. (In Russ.)
- Munera F, Soto J, Palacio D, et al. Penetrating neck injuries: helical CT angiography for initial evaluation. Radiology. 2002;224(2):366–372. doi: 10.1148/radiol.2242010973
- Woo K, Magner D, Wilson M, Margulies D. CT angiography in penetrating neck trauma reduces the need for operative neck exploration. Am Surg. 2005;71(9):754–758.
- Mosyagin VB, Rylkov VF, Karpatsky IV, Tymkiv EA. Neck injury without damage to vital structures: Features of surgical tactics. Grekov's Bulletin Surg. 2013;172(4):075–077. EDN: QYWXZJ doi: 10.24884/0042-4625-2013-172-4-075-077
Supplementary files
