Abstract
A 30-year-old male presents to the emergency department with a single gunshot wound (GSW) to the left neck. The patient is hemodynamically stable, with a blood pressure of 120/70 mmHg, heart rate of 100/min, respiratory rate of 16/min, and a Glasgow Coma Scale (GCS) score of 15. He is able to speak and states that his voice sounds normal to him. There is no stridor or odynophagia. He denies any weakness or numbness in his arms or legs. On physical examination, he is awake and alert. There is a single wound in the left mid-neck between the cricoid cartilage and the angle of the mandible with no bleeding. There is a moderate but nonexpanding hematoma overlying the injury with no other wounds seen. There is no palpable crepitus or audible bruit. Neurological examination is normal.
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Bell RB, Osborn T, Dierks EJ, et al. Management of penetrating neck injuries: a new paradigm for civilian trauma. J Oral Maxillofac Surg. 2007;65:691.
Brywczynski JJ, Barrett TW, Lyon JA, Cotton BA. Management of penetrating neck injury in the emergency department: a structured literature review. Emerg Med J. 2008;25:711.
Van Waes OJ, Cheriex KC, Navsaria PH, et al. Management of penetrating neck injuries. Br J Surg. 2012;99(Suppl 1):149.
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Schubl, S.D., Woods, A.L., de Virgilio, C., Kim, D.Y. (2020). Gunshot Wound to the Left Neck. In: de Virgilio, C., Grigorian, A. (eds) Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-05387-1_45
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DOI: https://doi.org/10.1007/978-3-030-05387-1_45
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