Common carotid artery injury caused by a camel bite: case report and systematic review of the literature

A 25-year-old man was bitten in the neck by an aggressive camel, causing three small puncture wounds. The left carotid pulse of the patient was weakly palpated. Angiography showed irregular dissection of the distal part of the left common carotid artery. Neck exploration confirmed the findings. An interposition autogenous saphenous vein graft was performed successfully. The patient was discharged home in good condition. We have systematically reviewed the literature on this topic, and only four other similar cases were reported previously. Although camel bite wounds are small, they may penetrate deeply, causing serious injuries to the neck structures including the major vessels. Care should be taken when approaching male camels during the rutting season.

Deve ýsýrýðýnýn neden olduðu ana karotis arter yaralanmasý: Olgu sunumu ve literatürün sistematik biçimde gözden geçirilmesi

Yirmi beþ yaþýnda bir erkek saldýrgan bir deve tarafýndan boynundan ýsýrýlmýþ ve boynunda üç küçük delici yara oluþmuþtur. Sol karotis nabzý zayýf hissediliyordu. Anjiyografi sol ana karotis arterin distal segmentinde düzensiz kesiler olduðunu gösterdi. Boynun eksplorasyonu bu bulgularý doðruladý. Otojen safen ven greft interpozisyonu baþarýyla uygulandý. Hasta evine iyi durumda gönderildi. Bu konuya iliþkin literatürü sistematik biçimde gözden geçirdik ve yalnýzca dört adet benzer olgu raporuna rastladýk. Deve ýsýrýðý yaralarý küçük boyutlarda olmalarýna raðmen derine penetre olabilerek ana damarlar dahil boyun oluþumlarýnda ciddi yaralanmalara neden olabilirler. Azgýnlýk dönemlerinde erkek develere yaklaþýrken dikkatli olunmalýdýr.