Sultan K Kadasah, Ali M Al-Qannass, Saud abdulwahab aldhabaan, Shahd Saeed Ali Dalboh, Adnan Q Al-Malki, Abdulrahim Ali Hassan


Introduction: Penetrating neck injuries caused by firearms are relatively common, but injuries caused by objects other than bullets are rare. However, they are life-threatening and are surgical emergencies. In this case report, we present a case of a penetrating neck injury caused by a gun screw.

Case Report: A 46-year-old male presented to the emergency department with a penetrating neck injury from a gun screw. On physical examination, a 3x3 cm punctured wound was found on the right side of his neck, with no exit wound. Computed Tomography (CT) scan, and CT angiography revealed a curve-shaped metallic object lodged in the right side of his neck, with no evidence of vascular injury.
The patient underwent an emergency surgical exploration under general anesthesia, and a 4.5 cm long, 0.5 cm wide gun screw was found in the right neck’s soft tissue. The screw was carefully removed without complications, and the wound was irrigated and closed. After two days of hospitalization, the patient was discharged and had an uneventful recovery.

Conclusion: Penetrating neck injuries caused by gun screws and other foreign objects can be challenging to manage and require prompt surgical intervention. Prompt identification and removal of the foreign object prevent complications and lead to successful outcomes.


Penetrating neck injury; neck; penetrating trauma; foreign body; neck; gun; bullet.

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