@article{ref1,
title="A 'Final Destination injury': penetrating trauma of the neck and a pneumomediastinum by a metal part shot from a lawnmower",
journal="Trauma case reports",
year="2021",
author="Quax, Marcel L. J. and Eefting, Daniel and Jansen, Jeroen C. and Blok, Joris J.",
volume="31",
number="",
pages="e100379-e100379",
abstract="INTRODUCTION: Outside of war regions, penetrating neck injury is rare. Penetrating  neck injury due to a lawnmower has never been described, despite the annual 74.000  injuries caused by lawnmowers in the United States. In this report, the case of a  65-year old women, admitted after a penetrating neck injury due to a metal piece  shot from a lawnmower, is described. REPORT: A 65-year old women, with no relevant  medical history, presented at the Emergency Department after she was hit in the neck  by an iron projectile shot from a professional lawnmower. On site, the projectile, a  metal part from the lawnmower blade, was removed by her husband. CT scan showed a  pneumomediastinum, without signs of vascular injury. Surgical exploration was  immediately performed in the operation room (OR). No vascular or esophageal injuries  werefound, only lacerated neck muscles. Perioperatively, the ENT surgeon performed  an endoscopy, which showed a small injury of the hypopharynx. Postoperatively, the  patient was prophylactically treated with antibiotics for 7 days. Patient was  discharged in good clinical condition after 7 days, without complications. <br><br>CONCLUSION: In this report we present a case with a sharp traumatic injury of the  neck, caused by a metal projectile shot from a lawnmower. The laceration of the  pharynx was explored in the OR by the ENT- and vascular surgeon. The  pneumomediastinum was treated with prophylactic antibiotics. Currently the patient  is doing fine without any complications of the injury. Traumatic injury of the neck  requires direct direct surgical exploration, however, when patients present  hemodynamically stable, a neck CTA will add to the diagnosis (e.g. a  pneumomediastium).<p /> <p>Language: en</p>",
language="en",
issn="2352-6440",
doi="10.1016/j.tcr.2020.100379",
url="http://dx.doi.org/10.1016/j.tcr.2020.100379"
}