NepMed Repository :: Browsing by Author "Mahoto, Nain Bahadur"

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Surgical Removal of a Long-Standing Impacted Firearm in Neck: A Case Report
(Nepal Medical Association, 2022) Adhikari, Arun; Mahoto, Nain Bahadur; Khatri, Bijay
Abstract The gunshot neck injury is an emergency and must be addressed immediately. However, as our case report, a long-standing retained foreign body (firearm) in the deep neck is rare. Surgical removal of a long-standing foreign body is challenging for the operating surgeon. A 36-year-old male with a history of a firearm injury to the neck dating 16 years back with complaints of recent onset of pain was evaluated. A computed tomography scan of the neck showed a metallic foreign body located in close proximity to the right common carotid artery. Neck exploration was performed under general anaesthesia, and the foreign body was removed without complications. The patient has recovered following the intervention and has resumed his normal activities. The use of methylene blue helps to locate the foreign body during surgery. However, the choice of intervention for a stable patient with a penetrating neck injury remains based on cases.