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Don’t Forget The Fragment! An Unusual Case of Occult Fragment Embolisation Following Penetrating Neck Injury
  1. Sqn Ldr Emma Davies, Surgical Research Fellow1,
  2. M Boylan, Specialty Registrar in Emergency Medicine2,
  3. JJ Hawker, Consultant Radiologist3 and
  4. B Banerjee, Consultant General and Vascular Surgeon4
  1. 1DSTL Porton Down, UK
  2. 2Queen Elizabeth Hospital, Birmingham, UK
  3. 3Southeastern Regional Medical Center, Lumberton, North Carolina, USA
  4. 4City Hospitals, Sunderland, UK
  1. Combat Casualty Care, Bdg 245, DSTL Porton Down, Salisbury SP4 0JQ 01980 613880 01980 613219 emdavies{at}


Fragment embolisation following vascular injury is uncommon. The case of a 31 year old soldier, who sustained a penetrating fragment injury to the neck with distal arterial embolisation, is presented and the discussion illustrates both the importance of expedient assessment and management of cervical vascular injuries and of thorough correlation of clinical and radiological findings to avoid missed emboli.

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