Multiple-Projectile Penetrating Neck Injury from a Modified Nail-Containing Gas Pistol

Background: Penetrating neck injuries result from missiles and stab wounds. A gas pistol is a non-lethal weapon for selfdefence. Case Report: We present a case where the use of a modified gun led to multiple injuries in a single shot. Four projectiles were embedded in the neck, one in the larynx and three in the cervical spine. The first was removed via a combined external and endoscopic approach, while the rest were put on follow-up. Conclusion: The reported case shows that damage from modified gas pistols, although rarely life threatening, may cause long term discomfort and diminished quality of life.

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van Deurzen DFP, van As AB, Verleisdonk EJMM. Is routine angiog- raphy necessary in patients with a gunshot wound to the neck? A retro- spective analysis. Eur J Trauma 2002;28:90-4. [CrossRef]
Biffl WL, Moore, EE, Rehce DH, Offner PJ, Franciose RJ, Burch JM. Selective management of penetrating neck trauma based on cervical level of injury. Am J Surg 1997;174:678-82. [CrossRef]
Mansour MA, Moore EE, Moore FA, Whitehill TA. Validating the selec- tive management of penetrating neck wounds. Am J Surg 1991;162:517-21. [CrossRef]
Vassiliu P, Baker J, Henderson S, Alo K, Velmahos G, Demetriades D. Aerodigestive injuries of the neck. Am Surg 2001;67:75-9.
Klyachkin ML, Rohmiller M, Charash WE, Sloan DA, Kearny PA. Pen- etrating injuries of the neck: Selective management evolving. Am Surg 1997;63:184-9.
Gulsen A, Sonmez E, Aydemir F, Caner H, Altinors N. Settled nail injury in the corpus of the seventh cervical vertebra - case report. Neurol Med Chir 2007;47:415-8. [CrossRef]
Sasaoka Y, Kamada K, Matumoto M, Ueda Y, Iwasaka T, Hukushima T, et al. Penetrating injury of the head, neck and chest by a nail-gun: A case report. No Shinkei Geka 1995;23:1099-104.
Waters RL, Sie IH. Spinal cord injuries from gunshot wounds to the spine. Clin Orthop Relat Res 2003;408:120-5. [CrossRef]
Yoshida GM, Garland D, Waters RL. Gunshot wounds to the spine. Or- thop Clin North Am 1995;26:109-16.
Shaheen F, Singh M, Nazir P. MRI-induced migration of a foreign body into the spinal canal: Are present guidelines safe? Am J Radiol 2008;191:72-3.