Ultrasound-Guided Removal of Deep-Lying Foreign Bodies of the Soft Neck Tissue in a Patient with a Shrapnel Wound

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Abstract

The paper describes a clinical case of intraoperative constant ultrasound-guided removal of deep-lying foreign bodies of the soft left neck tissue in a patient with a shrapnel wound resulted from mortaring. When deciding on a surgical option, the potential C-arm-guided foreign body removal was also considered; however, due to the topical localization of the foreign body between the internal jugular vein and the bifurcation area of the common carotid artery, the use of this technique was associated with a high risk of vascular trauma. The surgery was performed under local anesthesia using constant “free hand” US method in duplex mode. The foreign body was successfully removed. The wound completely healed by secondary intention, and a series of control ultrasound examinations revealed no signs of postoperative complications.

About the authors

Arsen R. Dadayan

Central City Hospital named after N.A. Semashko; Academy of Advanced Training and Professional Retraining

Author for correspondence.
Email: doctordadayan@gmail.com
ORCID iD: 0000-0002-1766-305X
SPIN-code: 4849-3057

lecturer at the Department of Ultrasound Diagnostics, surgeon

Russian Federation, Rostov-on-Don; Rostov-on-Don

Boris M. Belik

Central City Hospital named after N.A. Semashko; Rostov State Medical University

Email: bbelik@yandex.ru
ORCID iD: 0000-0003-0813-193X
SPIN-code: 7936-4211

M.D., Associate Professor, Head of the Department of General Surgery

Russian Federation, Rostov-on-Don; Rostov-on-Don

Rinat Sh. Tenchurin

Central City Hospital named after N.A. Semashko; Rostov State Medical University

Email: tenchurin@gmail.com
ORCID iD: 0000-0003-0496-3907
SPIN-code: 5574-6777

Ph.D., Associate Professor, Head of the Surgical Department

Russian Federation, Rostov-on-Don; Rostov-on-Don

Alexander S. Bolotskov

Academy of Advanced Training and Professional Retraining; Clinical Hospital “RZD-Medicine” Rostov-on-Don

Email: stefandoc@yandex.ru
ORCID iD: 0000-0002-6765-0724
SPIN-code: 9463-1510

Ph.D., Associate Professor, Head of the Department of Ultrasound Diagnostics

Russian Federation, Rostov-on-Don; Rostov-on-Don

References

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Supplementary files

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2. Fig. 1. A foreign body in the area of the hyoid bone (X-ray, lateral projection).

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3. Fig. 2. A foreign body in the area of the hyoid bone (X-ray, direct projection).

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4. Fig. 3. A foreign body located in the soft tissues of the neck.

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5. Fig. 4. A foreign body located between the internal jugular vein and the bifurcation of the common carotid artery.

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6. Fig. 5. Clamp branches with a foreign body.

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7. Fig. 6. The extracted foreign body.

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