{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:19:44Z","timestamp":1767676784486,"version":"3.40.4"},"reference-count":4,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:p>A 25-year-old man presented to the Emergency department in a rural South African hospital after a left, submental neck stab with a knife. Examination was deemed unremarkable, and the patient was discharged, but re-attended 2 days later complaining of a painful, swollen neck. Further examination identified Horner's syndrome, and further investigation revealed that the blade of the knife had remained in the patient's neck. This was successfully removed in theatre.<\/jats:p><jats:p>This case illustrates the importance of careful history, examination and diagnostic imaging in the management of penetrating neck injuries. Horner's syndrome can be easily missed in a busy Emergency department and may indicate life-threatening pathology in the context of neck trauma. The difficulties in assessing and managing this type of injury are discussed.<\/jats:p>","DOI":"10.1136\/bcr.02.2010.2735","type":"journal-article","created":{"date-parts":[[2010,8,19]],"date-time":"2010-08-19T16:19:53Z","timestamp":1282234793000},"page":"bcr0220102735","source":"Crossref","is-referenced-by-count":3,"title":["Two days with a broken knife blade in the neck \u2013 an interesting case of Horner's syndrome"],"prefix":"10.1136","volume":"2010","author":[{"given":"S","family":"Dubois-Marshall","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"De Kock","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2010,8,19]]},"reference":[{"key":"2025042508404741000_2010.aug17_1.bcr0220102735.1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00299107"},{"key":"2025042508404741000_2010.aug17_1.bcr0220102735.2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-008-9766-7"},{"key":"2025042508404741000_2010.aug17_1.bcr0220102735.3","first-page":"508","article-title":"Zone III penetrating neck trauma","volume":"61","author":"Topalidis","year":"2005","journal-title":"Contemp Surg"},{"key":"2025042508404741000_2010.aug17_1.bcr0220102735.4","doi-asserted-by":"publisher","DOI":"10.1007\/s002689900426"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.02.2010.2735","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T15:40:55Z","timestamp":1745595655000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.02.2010.2735"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010]]},"references-count":4,"alternative-id":["10.1136\/bcr.02.2010.2735"],"URL":"https:\/\/doi.org\/10.1136\/bcr.02.2010.2735","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2010]]}}}