AI Summary & Key Takeaways
AI InsightThe patient recoveredand was discharged from the clinic after 10-day follow-up.The unstable patients with active hemorrhages must undergosurgical exploration without any delays, but interventionsmust be initially avoided in stable patients as in our case.The wide spectrum antibiotics should be started in traumaticpneumomediastinum cases to prevent the development ofmediastinitis.
📌 3 Key Takeaways
Abstract
Penetrating neck injuries are rarely encountered, but have ahighly mortal course because of the presence of many vitalorgans in this small region. We reported a tracheal ruptureand pneumomediastinum case which occurred due tothe penetration of a sharp piece of wood to the neck. Thehemodynamically stable patient was evaluated by radiologicand endoscopic procedures and the pneumomediastinumand tracheal defect were found. The tracheal defect was left toheal spontaneously, the laceration was repaired cutaneouslyand the antibiotherapy was started. The patient recoveredand was discharged from the clinic after 10-day follow-up.The unstable patients with active hemorrhages must undergosurgical exploration without any delays, but interventionsmust be initially avoided in stable patients as in our case.The wide spectrum antibiotics should be started in traumaticpneumomediastinum cases to prevent the development ofmediastinitis.
Özet
Penetran boyun yaralanmaları nadir görülür. Ancak bu küçük bölgede birçok hayati organın varlığı nedeniyle oldukça mortal seyretmektedir. Hemodinamik olarak stabil bir hastanın boyununa keskin bir odun parçasının girmesi sonucu radyolojik ve endoskopik ileri görüntüleme yöntemleriyle tespit edilen trakeal rüptür ve pnömomediastinum olgusu raporlamaktayız. Trakeal defekt sekonder iyileşmeye bırakıldı. Lazerle deri alanı onarıldı ve antibiyoterapi başlanan hasta şifa ile taburcu edildi. Unstabil kanayan hastalarda cerrahi eksplorasyon temeldir. Ancak olgumuzda olduğu gibi stabil hastalarda girişimler ilk planda düşünülmemelidir. Mediastinit komplikasyonunu engellemek için geniş spektrumlu antibiyotik başlanmalıdır.