[Post-traumatic carotido-jugular fistula: Case report and review of the literature].

J Med Vasc

Service de chirurgie cardiovasculaire et thoracique, hôpital Habib-Bourguiba, 3029 Sfax, Tunisie.

Published: December 2017

The neck, being not protected by skeleton, is vulnerable to external trauma and injury which can involve blood vessels, muscles, nerves, and trachea. Carotid injuries can be potentially life-threatening by hemorrhage and stroke. We present a case of a 26-year-old manual worker who presented a neck injury caused by a metallic projectile. The injury involved the right common carotid artery with an internal jugular vein fistula, and tracheal damage. The patient was managed with surgical repair of the tracheal lesion, reconstruction of the carotid section using a PTFE graft bypass, and ligation of the internal jugular vein. In the immediate postoperative period, the patient presented with no neurological deficits, but he did develop a pulmonary infection that resolved with antibiotic therapy. The follow-up is now 3months. The patient is doing well without any neurological disorder.

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http://dx.doi.org/10.1016/j.jdmv.2017.09.005DOI Listing

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