PMC6328909_01
Computed tomography of the neck of a 64-year-old woman who was stabbed in the middle side of the right neck with a large kitchen knife. The knife edge passed near the right common carotid artery and jugular vein (circle) and injured the right vertebral artery (arrow).
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CT to search for injuries to major vessels. Computed tomography showed an obstruction of the right vertebral artery at the C7 level without extravasation and did not reveal any injury to the right common carotid artery or jugular vein (Fig. 1).
Angiography of the right vertebral artery of a 64-year-old woman who was stabbed in the middle side of the right neck with a large kitchen knife. A, Disruption of the vertebral artery at the C7 level (arrow). B, Arterial embolization with a coil and 50% N-butyl-2-cyanoacrylate (two arrows).
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The radiologist and neurosurgeon co-performed transcatheter arterial embolization (TAE) at the site proximal to the injury of the right vertebral artery with a coil and 50% N-butyl-2-cyanoacrylate (Fig. 2).
Stab wound in the middle side of the right neck of a 64-year-old woman. The photograph shows the kitchen knife in place before surgery.
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TAE, the patient underwent emergency surgery under general anesthesia, during which the kitchen knife was removed, and the skin incision was opened to the right and left of the knife wound (Fig. 3). The platysma and a part of the sternocleidomastoid muscle were ablated, and the right lobe of the thyroid gland was found to be injured.