2000, Número 2
Herida en cuello por proyectil de arma de fuego,transcervical en línea media sin evidencia de lesión. Reporte de un caso y revisión de la literatura
Vega-Rivera F, Zamudio-Enciso I, Larrinúa-Regalado G, Castillo-Jiménez M, Cárdenas-Martínez G, Delgadillo-Gutiérrez S, Martínez-Abaunza F
Idioma: Español
Referencias bibliográficas: 24
Paginas: 76-79
Archivo PDF: 360.46 Kb.
RESUMEN
Presentamos un caso sobre una herida por proyectil de arma de fuego transcervical en línea media, sin evidencia clínica ni imagenológica de lesión. Es sabido que las lesiones transcervicales son generalmente letales o devastadoras constituyendo así lesiones mortales en los tres picos de mortalidad por traumatismo. Este tipo de lesiones genera discusión en el gremio quirúrgico sobre la decisión operatoria obligada o el estudio selectivo de pacientes para manejo no operatorio, sin embargo, este tipo de heridas transcervicales (HTC) siempre dejan al cirujano traumatólogo más experimentado en una disyuntiva. No existen casos en la literatura con HTC en línea media sin evidencia de lesión, motivo por el cual presentamos este caso.
REFERENCIAS (EN ESTE ARTÍCULO)
Apffelstaedt J, Muller R. Results of mandatory exploration for penetrating neck trauma. World J Surg 1994; 18: 917-920.
Golucke PJ, Goldstein AS, Sclafani SJA et al. Routine versus selective exploration of penetrating neck injuries: a radiological prospective study. J Trauma 1984; 24: 1010-1014.
Meyer JP, Barret JA, Schuler JJ, Flanigon P. Mandatory vs selective exploration for penetrating neck trauma. Arch Surg 1987; 122: 592-597.
Timberlake GA, Rice JC, Kerstein MD et al. Penetrating injury to the carotid artery. A reappraisal of management. Am Surg 1989; 55: 154-157.
Biffl WL, Moore EE, Rehse DH, Offner PJ, Francoise RJ, Burch JM. Selective management of penetrating neck trauma based on cervical level injury. Am J Surg 1997; 174: 678-82.
Irish JC, Hekkenberg R, Gullane PJ, Brown DH, Rotstein LE, Neligan P, Ali J. Penetrating and blunt neck; trauma; 10-year review of a Canadian experience. Can J Surg 1997; 40: 1: 33-8.
Klyachkin ML. Penetrating neck trauma: lack of universal reporting guidelines. Am Surg 1998; 64(3): 222-5.
Sclafani SJ, Cavalieri G, Atwen N et al. The role of angiography in penetrating neck trauma. J Trauma 1991; 31: 557-562.
Rao PM, Ivatury RR, Sharma P, Vinzons AT, Nassoura Z, Sthahl WM. Cervical vascular injuries: a trauma center experience. Surgery 1993; 114(3): 527-31.
Mutabagani KH, Beaver BL, Cooney DR, Besner GE. Penetrating neck trauma in children a reappraisal. J Pediatr Surg 1995; 30(2): 341-4.
Demetriades D, Charalombides D, Lakhoo M. Physical examination and selective conservative management patients in with penetrating injuries of the neck. Br J Surg 1993; 80: 1534-1536.
Demetriades D, Rabinowitz B, Pezikis A et al. Subclavian vascular injuries. Br J Surg 1987; 74: 1001-1003.
Gerst PH, Sharme SK, Sharme PK. Selective management of penetrating wounds of the neck. Am Surg 1987; 56: 553-555.
Stein A, Kalk F. Selective conservation in the management of penetrating wounds of the neck. S Afr J Surg 1974; 12: 31-39.
Demetriades D, Theodorum D, Cornwell E et al. Penetrating injuries of the neck in stable patients: physical examination, angiography or color Flow. Doppler Arch Surg 1995; 130: 971-979.
Fry WR, Dart JA, Smith RS et al. Duplex scanning replaces arteriography and operative exploration in the diagnosis of potential cervical vascular injury. Am J Surg 1994; 168: 693-696.
Adame N Jr, Bayless P. Carotid arteriovenous fistula in the neck as a result of facial laceration. J Emerg Med 1998; 16(4): 575-8.
Demetriades D, Theodorum D, Cornwell et al. Transcervical gunshot injuries: mandatory operation is not necessary. J Trauma In press.
Hisrhberg A, Wall MJ, Johnston RH et al. Transcervical gunshot injuries. Am J Surg 1994; 167(3): 309-312.
Atta HM, Walker MI. Penetrating neck trauma: lack of universal reporting guidelines. Am Surg 1998; 64(3): 222-5.
Watson JM, Goldstein LJ. Golf club shat impalement: case report of a Zone III neck injury. J Trauma 1996; 41(6): 1036-8.
Demetriades D, Theodorou D, Cornwell E et al. Evolution of penetrating injuries of the neck. A prospective study of 223 patients. (Submitted) World J Surg.
Montalvo BM, LeBlang SD, Nuñez DB Jr, Ginzburg E, Klose KJ, Becerra JL, Kochan JP. Color Doppler Sonography in penetrating injuries of the neck. AJNR Am Neuroradiol 1996; 17(5): 943-51.
Atteberry LR, Dennis JW, Menawat SS, Frykberg ER. Physical examination alone is safe and accurate for evaluation of vascular injuries in penetrating Zone II neck trauma, J Am Coll Surg 1994; 179(6): 657-62.