@article{ref1,
title="Penetrating neck injury caused by stabbing: a rare but complex problem in the Netherlands",
journal="Nederlands Tijdschrift voor Geneeskunde",
year="2019",
author="Hundersmarck, Dennis and van Koperen, Paul J. and Leenen, Loek P. H. and de Borst, Gert J. and Houwert, R. Marijn and Hietbrink, Falco",
volume="163",
number="ePub",
pages="ePub-ePub",
abstract="Penetrating neck injuries (PNIs) as a result of stabbing or deliberate self-harm are complex and potentially life-threatening. Nowadays, selective non-operative management of PNI has become common practice. Diagnostic and treatment algorithms originating from high-volume trauma centres in South-Africa and North-America are used in Dutch clinical practice. Three patients that sustained a PNI are discussed. Two patients, aged 61 and 37, only had mild signs on physical examination that justified additional diagnostic investigations. In the first patient, a penetrating oesophageal injury was found and repaired. The latter had a partial Horner syndrome as a result of PNI, no underlying injuries were found. One patient, aged 57, was haemodynamically unstable and therefore received immediate surgical exploration of the neck. A penetrating injury of the jugular vein was discovered and repaired. A summary of literature and guidelines is presented for the benefit of Dutch physicians that may be confronted with these complex injuries.<p /> <p>Language: nl</p>",
language="nl",
issn="0028-2162",
doi="",
url="http://dx.doi.org/"
}