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Dammak A, Ben Jmaà H, Hadhri S, Cheikhrouhou H, Dhouib F, Haddar S, Kammoun L, Ben Jmaà T, Hammami B, Masmoudi S, Elleuch N, Ben Jmaà M, Frikha I. [Post-traumatic carotido-jugular fistula: Case report and review of the literature]. JOURNAL DE MÉDECINE VASCULAIRE 2017; 42:388-391. [PMID: 29203046 DOI: 10.1016/j.jdmv.2017.09.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/16/2017] [Accepted: 09/17/2017] [Indexed: 12/25/2022]
Abstract
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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Affiliation(s)
- A Dammak
- Service de chirurgie cardiovasculaire et thoracique, hôpital Habib-Bourguiba, 3029 Sfax, Tunisie
| | - H Ben Jmaà
- Service de chirurgie cardiovasculaire et thoracique, hôpital Habib-Bourguiba, 3029 Sfax, Tunisie.
| | - S Hadhri
- Service de chirurgie cardiovasculaire et thoracique, hôpital Habib-Bourguiba, 3029 Sfax, Tunisie
| | - H Cheikhrouhou
- Service d'anesthésie-réanimation, hôpital Habib-Bourguiba, 3029 Sfax, Tunisie
| | - F Dhouib
- Service de chirurgie cardiovasculaire et thoracique, hôpital Habib-Bourguiba, 3029 Sfax, Tunisie
| | - S Haddar
- Service de radiologie, hôpital Habib-Bourguiba, 3029 Sfax, Tunisie
| | - L Kammoun
- Service des urgences, hôpital Habib-Bourguiba, 3029 Sfax, Tunisie
| | - T Ben Jmaà
- Service des maladies infectieuses, hôpital Hédi-Chaker, 3029 Sfax, Tunisie
| | - B Hammami
- Service d'ORL, hôpital Habib-Bourguiba, 3029 Sfax, Tunisie
| | - S Masmoudi
- Service de chirurgie cardiovasculaire et thoracique, hôpital Habib-Bourguiba, 3029 Sfax, Tunisie
| | - N Elleuch
- Service de chirurgie cardiovasculaire et thoracique, hôpital Habib-Bourguiba, 3029 Sfax, Tunisie
| | - M Ben Jmaà
- Service des maladies infectieuses, hôpital Hédi-Chaker, 3029 Sfax, Tunisie
| | - I Frikha
- Service de chirurgie cardiovasculaire et thoracique, hôpital Habib-Bourguiba, 3029 Sfax, Tunisie
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