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Case Reports in Otolaryngology
Volume 2017, Article ID 2415679, 3 pages
https://doi.org/10.1155/2017/2415679
Case Report

Historical Case of Cervical Penetrating Wound: From First Aid to Surgical Intervention

Department of ENT Head and Neck Surgery, Teaching Hospital Gabriel Toure, Bamako, Mali

Correspondence should be addressed to Koné Fatogoma Issa; rf.oohay@assiamogotafenok

Received 13 May 2017; Revised 27 August 2017; Accepted 17 September 2017; Published 22 October 2017

Academic Editor: Gianluca Donatini

Copyright © 2017 Koné Fatogoma Issa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. We report a case of cervical penetrating wound by posing the problem of its support and by analyzing the chain of survival of a patient to human sacrifice. Case Report. It was an 11-year-old boy admitted to the hosting service of cervical penetrating wound emergency occurring in a context of human sacrifice by weapon (knife). On admission, the conscious patient had a left cervical hematoma at the level of the cervical zone II and severe signs of acute anemia. The exploratory cervicotomy, carried out 12 hours after the trauma under transfusion, allowed us to highlight a section of the front edge of the sternocleidomastoid and previous jugular muscles under hyoid. We noted the presence of a linear wound of 1 cm at the level of the left internal jugular vein. The wound of the internal jugular vein has been repaired with the Prolene 4.O. The outcome was good, allowing the exit 10 days after cervicotomy. Conclusion. The causal circumstances of cervical penetrating wounds are diverse. Their importance or their severity depends on the causative circumstances dominated by aggression and attempts to autolysis. Human sacrifice, with use of the weapon, is an exceptional circumstance.