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J Korean Soc Emerg Med > Volume 14(4); 2003 > Article
Journal of The Korean Society of Emergency Medicine 2003;14(4): 447-451.
Transection of the Internal Jugular Vein by a Neck Stab Injury : A case report
Young Gil Ko, Byeong Wook Lee, Ki Seog Lee, Kwang Je Baek, Jun Sig Kim, Young Up Cho, Kee Chun Hong, Kyung Rae Kim
1Department of Emergency Medicine, College of Medicine, Inha University, Incheon, Korea.
2Department of General Surgery, College of Medicine, Inha University, Incheon, Korea. yucho@inha.ac.kr
ABSTRACT
Injuries to the internal jugular vein rarely occur in Korea. However, neck veins are damaged more frequently than any other structure by neck stab injuries, and jugular venous injuries are caused almost exclusively by penetrating neck trauma. Vascular injury is the leading cause of death from trauma. Bleeding from injury to jugular veins is a main contributing factor of mortality as a result of penetrating neck trauma. When we meet a patient of neck stab injury, we must do a careful physical examination and some selective special diagnostic studies. Patients with penetrating neck injuries who are taken directly to the operating room are those with severe external hemorrhage and expanding hematoma and those who are hemodynamically unstable despite of resuscitation. A 22-year-old woman received a stab injury to the neck. On the neck CT scan, the patient was revealed to have a pseudoaneurysm caused by transection of the internal jugular vein. The patient recovered well from the injury as a result of a selective operation, an end-to-end anastomosis. We report that case of a penetrating neck injury resulting in transection of the internal jugular vein and give a review of other reported cases.
Key words: Internal jugular vein, Transection, Pseudoaneurysm, End-to-end anastomosis
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