Article Text

PDF
Unusual association of diseases/symptoms
Two days with a broken knife blade in the neck – an interesting case of Horner's syndrome
  1. S Dubois-Marshall1,
  2. S De Kock2
  1. 1Breakthrough Breast Cancer Research Unit, Western General Hospital, Edinburgh, UK
  2. 2Department of General Surgery, Ngwelezane Hospital, Empangeni, South Africa
  1. Correspondence to S Dubois-Marshall, sylvie_dubois_marshall{at}hotmail.com

Abstract

A 25-year-old man presented to the Emergency department in a rural South African hospital after a left, submental neck stab with a knife. Examination was deemed unremarkable, and the patient was discharged, but re-attended 2 days later complaining of a painful, swollen neck. Further examination identified Horner's syndrome, and further investigation revealed that the blade of the knife had remained in the patient's neck. This was successfully removed in theatre.

This case illustrates the importance of careful history, examination and diagnostic imaging in the management of penetrating neck injuries. Horner's syndrome can be easily missed in a busy Emergency department and may indicate life-threatening pathology in the context of neck trauma. The difficulties in assessing and managing this type of injury are discussed.

Statistics from Altmetric.com

Footnotes

  • This is a reprint of a paper that first appeared in BMJ Case Reports, BMJ Case Reports 2010; doi:10.1136/bcr.02.2010.273.

  • Competing interests None.

  • Patient consent Obtained.

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.