Citation

Cheddie S, Pillay B, Goga R. S. Afr. J. Surg. 2013; 51(2): 77-79.

Affiliation

Department of General Surgery, Nelson R Mandela School of Medicine, University of Kwa-Zulu Natal, Durban. scheddie@gmail.com.

Copyright

(Copyright © 2013, Association of Surgeons of South Africa)

DOI

unavailable

PMID

23725899

Abstract

A 22-year-old man sustained a strangulation-type injury to the neck, with bilateral blunt carotid artery injuries detected on computed tomography (CT) angiography. His Glasgow Coma Score was 15/15, and he was managed conservatively with therapeutic low-molecular-weight heparin and antiplatelet therapy. A repeat CT angiogram 6 weeks later showed complete resolution of an intimal flap, and he demonstrated no neurological deterioration. There are no definitive management guidelines regarding this type of injury, and our report emphasises the role of conservative anticoagulation therapy in the management of this rare condition.

Language: en