title: Tracheoinnominate fistula: a rare acute complication of penetrating neck injury.
abstract: Penetrating injuries in the base of the neck are considered to be the most dangerous due to the potential combination of vascular and intrathoracic lesions. We describe an extremely rare case of combined injury of the trachea and innominate artery, which resulted in formation of a traumatic acute tracheoinnominate fistula. Previously, these fistulas have been described as an iatrogenic complication of tracheostomy, presenting with massive peristomal bleed or hemoptysis. This case demonstrates that a combination of lesions to vital anatomical structures in the neck can change their clinical presentation, making them extremely difficult to diagnose.
authors.affiliation: Department of Maxillofacial Surgery, Gregorio Marañón General University Hospital, Madrid, Spain flor191@yandex.ru.
authors.forename: Alena
authors.initials: A
authors.lastname: Kulyapina
authors.affiliation: Department of General Surgery, Gregorio Marañón General University Hospital, Madrid, Spain.
authors.forename: Dolores Pérez
authors.initials: DP
authors.lastname: Díaz
authors.affiliation: Department of General Surgery, Gregorio Marañón General University Hospital, Madrid, Spain.
authors.forename: Teresa Sanchez
authors.initials: TS
authors.lastname: Rodríguez
authors.affiliation: Department of General Surgery, Gregorio Marañón General University Hospital, Madrid, Spain.
authors.forename: Fernando Turegano
authors.initials: FT
authors.lastname: Fuentes
mesh_terms: D016122:Brachiocephalic Trunk / Q000293:injuries*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D019838:Neck Injuries / Q000150:complications*; D016156:Respiratory Tract Fistula / Q000209:etiology*; D014132:Trachea / Q000293:injuries*; D016157:Vascular Fistula / Q000209:etiology*; D014950:Wounds, Penetrating / Q000150:complications*
keywords: Blood vessels; brachiocephalic trunk; neck injuries; penetrating; trachea; vascular fistula; wounds