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2017, Number 2

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Rev Cubana Pediatr 2017; 89 (2)

Traumatic rupture of the vertebral artery caused by penetrating neck injury

Pérez OL, González IWM, Riverol VM, González NH, Vázquez DO, Rodríguez RE, Hernández RL

Language: Spanish
References: 20
Page: 214-223
PDF size: 218.61 Kb.


ABSTRACT

Introduction: Exsanguination is a dramatic clinical condition that requires quick analysis and action to achieve good results.
Case report: This is a 13 years/old patient who suffered a car accident and was seen at "Eliseo Noel Camano" pediatric hospital in Matanzas province, Cuba. The teenager had many upper and lower limb traumas and a penetrating neck injury that required immediate surgery to control hemorrhage. It was necessary to involve intensive care experts, anesthesiologists, pediatric surgeons, neurosurgeons, and vascular surgeons because the amount of bleeding and the location of injury aroused the suspicion of traumatic damage of the vertebral artery. The teenager managed to survive from the exsanguinating injury and is currently in his recovery process.
Conclusions: The penetrating neck injury may cause traumatic rupture of the vertebral artery, an uncommon condition that requires great diagnostic suspicion in order to succeed in treatment. It is vital to have a multidisciplinary vision in which safe, rapid and effective procedures should prevail.


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