Open Surgical Retrieval of a Foreign Body in the Neck: A Case Report
Published: February 1, 2024 | DOI: https://doi.org/10.7860/JCDR/2024/67383.19031
Virendra Sudhakar Athavale, Sudhir Ramchandra Jayakar, Smitha Moghekar
1. Professor, Department of General Surgery, Dr. DY Patil Medical College and Hospital and Research Centre, Dr. DY Patil Vidyapeeth, Pimpri, Pune Maharashtra, India.
2. Professor, Department of General Surgery, Dr. DY Patil Medical College and Hospital and Research Centre, Dr. DY Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India.
3. Resident, Department of General Surgery, Dr. DY Patil Medical College and Hospital and Research Centre, Dr. DY Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India.
Correspondence
Dr. Sudhir Ramchandra Jayakar,
Professor, Department of General Surgery, Dr. DY Patil Medical College and Hospital and Research Centre, Dr. DY Patil Vidyapeeth, Pimpri, Pune-411018, Maharashtra, India.
E-mail: sudhirjayakar@gmail.com
Foreign body retention in the neck may be either traumatic or iatrogenic. Penetrating neck injuries with retained bodies are critical, as the neck serves as a passage for structures essential to life. Therefore, prompt detection and retrieval of the foreign body are paramount in preventing mortality. Here, authors present a case in which a successful surgical retrieval was performed without any postprocedural complications, despite the patient presenting relatively late after the injury. In this case report, a 23-year-old male labourer presented with a right-sided neck swelling two months after a workplace injury involving a shattered metal plate. Imaging confirmed a 15×5 mm hyperdense metallic object penetrating the sternocleidomastoid muscle. Successful open exploration extracted a 1.5 cm metallic shard at the C6 vertebral level, with no major vessel or airway damage. Postoperatively, the patient exhibited no movement restrictions, highlighting the atypical presentation of a retained metallic foreign body and the importance of timely intervention and comprehensive imaging for successful management.
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