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Hybrid Endovascular and Direct Surgical Approach for Treatment of Penetrating Common Carotid Artery Injury: A Case Report.
NMC Case Rep J
December 2024
Department of Neurosurgery, Fukushima Medical University, Fukushima, Fukushima, Japan.
Although rare, penetrating cervical vascular injury poses significant challenges with a poor patient prognosis, often attributed to severe hemorrhage and accompanying injuries. We encountered a case of hemorrhagic shock resulting from a penetrating injury to the common carotid artery (CCA), which was successfully managed using a combination of endovascular therapy and direct surgical intervention. A 23-year-old man presented with a self-inflicted stab wound on the left side of his neck from a kitchen knife.
View Article and Find Full Text PDFIntegrated psychiatric and surgical care in managing self-inflicted abdominal trauma: a case report in a resource-limited setting.
Ann Med Surg (Lond)
November 2024
B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
Introduction And Importance: Self-inflicted abdominal stab wounds present rare yet critical challenges requiring urgent surgical intervention and comprehensive psychiatric evaluation. Such injuries often correlate with psychiatric disorders like schizophrenia and alcohol dependence, posing significant clinical and psychological management hurdles.
Case Presentation: A 36-year-old male with a history of chronic alcohol use and schizophrenia presented with a self-inflicted stab wound to the abdomen following auditory hallucinations.
Biomechanics of stabbing knife attack for trauma surgeons in Korea: a narrative review.
J Trauma Inj
March 2024
Division of Trauma Surgery, Department of Surgery, Seoul National University Hospital, Seoul, Korea.
Article Synopsis
- The paper reviews the biomechanics of knife injuries, highlighting the forces and speeds involved in stabbing incidents, which exceed the defense capabilities of typical law enforcement officers.
- It emphasizes the importance of maintaining a safe distance from individuals armed with knives and suggests that self-defense training should account for the rapid nature of knife attacks.
- Additionally, the study outlines distinctions between self-inflicted and assault stab wounds, noting that wound characteristics can't reliably indicate suicidal intent, and stresses the growing prevalence of knife-related violence, underlining the need for effective prehospital emergency care.
Experiencing cardiac arrest during surgical exploration in hemodynamically stable patients with multiple stab wounds, including lower extremity in Korea: a case report.
J Trauma Inj
June 2024
Department of Thoracic and Cardiovascular Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea.
Article Synopsis
- Stab wounds to multiple body regions can complicate trauma care; a case involving a 23-year-old male with self-inflicted stab injuries to the abdomen and thighs highlights these challenges.
- Despite stable vital signs and minimal bleeding initially, the patient unexpectedly experienced a severe hemorrhage from the right thigh, resulting in cardiac arrest.
- The case illustrates the unpredictability of stab wounds and the necessity of advanced imaging techniques for detecting hidden injuries, along with strategic surgical methods that can significantly improve patient recovery outcomes.
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