To the Editor.—Often trauma or penetrating wounds inflict injuries to organs distant from the traumatized area or site of entry.1,2
A 35-year-old man who had an injury to the left side of his neck by a hand pick was admitted to the chest clinic of Avecina Hospital, Kabul, Afghanistan, in August 1970. He was complaining of profuse bleeding from the laceration, but had no hemoptysis or dysphagia. Following the wound treatment, the patient left the hospital in good condition.
Forty-eight days later the patient was readmitted to the hospital with complaints of shortness of breath and hoarseness of the voice. A chest roentgenogram revealed an encapsulated extrapleural opacity in the right thoracic apex. The hematoma was evacuated through a standard thoracotomy incision. The patient's recovery was uneventful.
Two years later, the patient noticed a painful mass above the right clavicle, lateral to the insertion of sternocleidomastoid muscle, and