CAROTID ARTERY INJURY WITH RECOVERY BRAIN DAMAGE AFTER SURGERY: A CASE REPORT

Abstract

The neck area is small in volume but contains many important and vital structures. Trauma and wounds in this area can penetrate into the inside due to the thin walls and the anatomical organs close to the skin. The cause of trauma may come from a gunshot, sharp object or fragment penetration through the skin and muscles, which can cause damage to the digestive system, nerves, blood vessels, trachea, etc. Penetrating neck wounds are a surgical emergency, especially carotid artery injuries, with unpredictable progression and high mortality rate. According to medical literature, the rate of carotid artery injury due to penetrating neck injuries is from 6 - 17%; in most cases of carotid artery injury, the patient dies immediately due to hemorrhagic shock or rarely receives timely treatment, leaving severe neurological sequelae. This study analyzes the case of a 49-year-old male patient who was stabbed by a sharp object (knife) in the left common carotid artery and the left lobe of the thyroid gland in the first hour, with brain damage, that was given emergency red alert, surgery and recovery.

Keywords: neck penetrating injury; carotid artery; brain damage