Management of Severe Polytrauma in a 16-Year-Old Male Involving Cervical Foreign Body (Metal Cap with Barcode): A Multidisciplinary Approach

Vol. 21 No. 6 (suppl) : 2026 (36-40)

Ain Nadhirah Tajul Azhar
Ain Nadhirah Tajul Azhar
Hafeza Ahmad
Hafeza Ahmad
Farhan Fader
Farhan Fader
Zakinah Yahaya
Zakinah Yahaya
Mawaddah Azman
Mawaddah Azman

Abstract
Motor vehicle accidents (MVA) are a leading cause of trauma in young individuals, often resulting in complex multiorgan injuries. This case report detailed the comprehensive management of a 16-year-old male who sustained an open comminuted fracture of the left clavicle with displacement near the left common carotid artery, an intramuscular foreign body at the C6 level, left upper chest wall open wound with subcutaneous emphysema, left lung contusion and pneumomediastinum following an MVA. Through a multidisciplinary approach involving otorinolaryngology, orthopaedic, vascular and surgical teams, the patient underwent thorough imaging, as well as surgical exploration, to address his injuries and other complications. This case highlights the importance of coordinated care and strategic decision-making in managing complex polytrauma.

Keywords : Comminuted clavicle fracture; neck foreign body removal; internal jugular vein thrombosis; motor vehicle accident; polytrauma,

Correspondance Address
*Correspondence: drainnadhirah@gmail.com;


FIGURE 1: Yellow arrow in coronal cut of CECT neck showed hyperdense foreign body measuring 1.8 x 2.8 x 2.5 cm in the left posterior cervical soft tissue at the C5-C6 level