Abstract
RATIONALE: Carotid artery penetrating injury is rare, but the disability and mortality rates are high. Timely and correct diagnosis, selection of reasonable surgical access and appropriate vascular repair method can shorten the operation time and reduce the incidence of postoperative cerebral ischemic-hypoxic complications. PATIENT CONCERNS: We report a 22-year-old man who stabbed himself in the right neck with a knife after drinking and was admitted to our hospital. DIAGNOSES: Preoperatively, we use bedside ultrasound and computed tomography angiography to accurately determine the location and size of the wound. INTERVENTIONS: After diagnosing the patient with a carotid artery penetrating injury, we promptly performed a repair of his carotid artery penetrating injury, taking into account the location and size of the wound. OUTCOMES: The patient recovered well after surgery and was reviewed half a month later without neurologic complications. LESSONS: The successful resuscitation of this case is a good inspiration for our primary care physicians, and it is worthwhile to learn from the selection of examination methods and principles of treatment when facing this kind of patients with neck trauma in the future.