Traumatic extracranial internal carotid-jugular fistula leading to serious injury: a case report in forensic assessment

Shirin Saberianpour, J. J. Shahri, Mohammad Hassani, Ramin Aghsaee
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Abstract

Traumatic carotid artery jugular vein fistula is a rare entity that is not usually detected during the acute injury phase. We presented 1 cases of traumatic carotid–jugular fistula. A 52 years old man that was referred to us because of an expanding neck hematoma. There was a 1×1 cm ulcer with a clot in zone II right neck and a thrill was palpated. We clamped the proximal and distal site of injury (Arteriovenous fistula), then divided the fistula and primarily repaired the artery (transversely) and the vein with 7-0 prolene suture. We placed two hemovac drains and then repaired the subcutaneous and skin and covered the site with gauze and then the patient was transferred to ICU. He was extubated the next day and physical exam was completely normal without any neurologic deficit. Carotid–jugular fistula should always be treated early to avoid the complications associated with the injury.
外伤性颅外颈内颈瘘致严重损伤:法医鉴定1例报告
外伤性颈动脉颈静脉瘘是一种罕见的疾病,通常在急性损伤期不被发现。本文报告外伤性颈颈瘘1例。一名52岁的男性因为颈部血肿扩大而来找我们。右颈部II区有1×1厘米溃疡伴血栓,并触诊震颤。我们夹紧损伤的近端和远端部位(动静脉瘘),然后将瘘分开,用7-0 prolene缝合主要修复动脉(横向)和静脉。我们放置了两根血液引流管,然后对皮下和皮肤进行修复,并用纱布覆盖患处,然后将患者转至ICU。第二天拔管,体格检查完全正常,没有任何神经缺陷。颈静脉瘘应及早治疗,以避免并发症的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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