Do lodged foreign bodies in the neck need to be removed? No defined criteria in 2020. Fluoroscopy role and review of literature: A case report

Do lodged foreign bodies in the neck need to be removed? No defined criteria in 2020. Fluoroscopy role and review of literature: A case report

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Penetrating neck wounds can be fatal and require prompt attention.The trauma literature is flooded with management protocols for penetrating wounds to the neck; however, in the absence of hard signs the definitive management of lodged foreign bodies beyond the platysma is less clear.This report describes a work-related injury of a Caucasian 33-year-old male who arrived in the Emergency Department (ER) with a 1 cm metallic foreign body (FB) lodged FERMENTED WHEATGRASS in zone II of the neck, 7 mm antero-lateral to the right internal carotid artery.The technical aspects of its retrieval are discussed as well as a literature review of the current management of embedded FBs in the neck.

The patient was taken to the operating room and the FB was removed via a 3 cm incision.Fluoroscopy was used for exact localization of and to allow a precise skin incision overlying the FB.The FB was retrieved uneventfully; a fiberoptic esophagoscopy and bronchoscopy showed normal findings.The patient was discharged home Enamel Pin US License Plate the next day.

At 15 months follow-up he is doing well without sequela.The use of fluoroscopy is strongly encouraged for FB removal in asymptomatic patients.The management of lodged foreign bodies in the neck should be part of future guidelines.