Removal of a metal fragment and floating thrombus from the internal jugular vein of a serviceman in a field hospital
Year: 2025
Type: article
Study design: Case Report
Abstract: Introduction. Fragment wounds of the neck with neurovascular bundle injury sustained during combat operations represent a relevant problem in the field of extreme medicine. High mortality rates, along with a lack of sufficient research, contribute to uncertainty in determining optimal treatment tactics. Case report . A successful surgical treatment of a serviceman with a fragment wound to the neck caused by a foreign metallic body (shell fragment) involving the internal jugular vein and a floating thrombus was performed in a field hospital. An open surgery was conducted to remove the foreign metallic body and the floating thrombus from the internal jugular vein, followed by repair of the venous wall with a 7/0 polypropylene suture. The postoperative course was uneventful. Conclusions . The presented case demonstrates previously unpublished data on a variant of fragment injury to the internal jugular vein. The proposed surgical technique has proven to be effective and safe.
Source: Extreme Medicine
Authors: D. S. Vasiliev, A. N. Kazantsev, V. V. Kolesnikov, R. P. Yakimavichus, A. G. Shishkin, Zh. M. Belyai, R. R. Tenishev, V. V. Kholmatov
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4415468352