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| Content Provider | PubMed Central |
|---|---|
| Author | Tweedie, D. Pitkin, L. McKay-Davies, I. |
| Copyright Year | 2011 |
| Abstract | While paint-balling a 15-year-old boy was shot on the front of his face guard causing him to hyperextend his neck. Over the next few days he developed neck stiffness and a large painful swelling over his upper left sternocleidomastoid muscle. CT confirmed this to be a haematoma abscess and at operation it was found to originate from the parapharyngeal vessels, extending from the skull base and tracking inferiorly along the carotid sheath, compressing (and partially thrombosing) the internal jugular vein (IJV). After surgical decompression, double-dose low molecular weight heparin and antibiotics, the patient made an uneventful recovery, including recanalisation of his IJV. Delayed cervical haematoma can result in neck space infection and potential airway compromise. Early CT scanning optimises timely intervention, consisting of airway protection, broad-spectrum antibiotics and surgical drainage. |
| Related Links | http://dx.doi.org/10.1136/bcr.09.2010.3314 |
| Starting Page | 920103314 |
| File Format | |
| ISSN | 1757790X |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Volume Number | 2011 |
| Language | English |
| Publisher | BMJ Publishing Group |
| Publisher Date | 2011-02-23 |
| Access Restriction | Open |
| Rights Holder | BMJ Publishing Group |
| Subject Keyword | Research in Higher Education |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
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