Carotid trauma demands early diagnosis and treatment. Open repair may be technically challenging if the trauma is at the base of the neck. We present a case of iatrogenic penetrating carotid trauma caused by insertion of a hemodialysis catheter. Treatment was accomplished by placement of a covered stent-graft in the common carotid artery, covering the puncture site. This case suggests that plac...

This is a case of a male who suffered a penetrating injury to the neck with difficult to control bleeding. He was transferred from an outside hospital and was hypotensive on admission. He was on multiple vasopressors and attempts were made to control bleeding in the emergency room. He showed minimal signs of neurologic function. He was taken to the angiography suite where a left vertebral arter...

437 unusual case of orbital trauma with a large foreign body in the maxilla. Br J Plast Surg 1999;52:507-8. 3. Neff LL, Liess BD, Chang CW. Transoral endoscopic removal of a bullet from the infratemporal fossa. Otolaryngol Head Neck Surg 2008;138:113-4. 4. Grobbelaar A, Knottenbelt JD. Retained knife blades in stab wounds of the face: is simple withdrawal safe? Injury 1991;22:29-31. 5. Cosan TE...

A 26-year-old construction worker presented with a nail settled in the C-7 corpus. He had no neurological or physical abnormalities. Preoperative evaluation of the vascular, neural, and aerodigestive structures with cervical radiography, computed tomography (CT), CT angiography, and contrast esophagography found no damage. The nail was completely exposed surgically and removed. The patient reco...

conceptually traumatic brain injury (tbi) can be classified from a mechanistic perspective as: 1) closed, 2) penetrating, 3) blast, and 4) crush injuries. thus, tbi is a heterogeneous disease and each type of brain injury has different characteristic features often necessitating different approaches to management. the first edition of the guidelines for management and prognosis of penetrating b...