The solution of continuity of the tissues of the neck with rupture of the
platysma muscle is called a cervical penetrating wound. The authors report a case of an unusual
penetrating neck wound extended to the pleural dome by stabbing a psychiatric
patient. They describe the diagnostic circumstances, the therapeutic approach
and discuss data from the literature. It was a 26-year-old young woman, who was received in ENT for a penetrating neck wound with a stab wound following a suicide attempt. The diagnosis of a
penetrating stab wound to the neck extending to the right pleural dome was
retained. The exploratory cervicotomy with the extraction of the foreign body found a knife blade
penetrating the anterior base of the right side of the neck to the right pleural dome, sparing the noble vasculo-nervous and aero-digestive
organs of the neck. The postoperative course was simple and the evolution was
favourable. This unusual penetrating wound of the neck is spectacular and
remarkable for the absence of involvement of noble organs despite the
involvement of the pleural dome. However, it remains a concern in psychiatric
patients and requires multidisciplinary management and systemic management in
order to avoid recurrence.
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