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Abdominal gunshot wound

Emma Nally, James Jelinek, Robert D Bunning
Lead toxicity in adults is characterized by nonspecific symptoms of abdominal pain, vomiting, constipation, fatigue, and weight loss. We present a case of severe lead toxicity that developed subacutely, causing quadriparesis 9 years after a gunshot wound with retained bullet fragments. The onset of symptoms may have been related to the development of a pseudocyst. The long interval between the gunshot wound and the onset of symptoms contributed to a delay in suspecting that the retained bullet was a source of lead toxicity...
October 6, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Thomas M Gregory, Thomas Bihel, Pierre Guigui, Jérôme Pierrart, Benjamin Bouyer, Baptiste Magrino, Damien Delgrande, Thibault Lafosse, Jaber Al Khaili, Antoine Baldacci, Guillaume Lonjon, Sébastien Moreau, Laurent Lantieri, Jean-Marc Alsac, Jean-Baptiste Dufourcq, Jean Mantz, Philippe Juvin, Philippe Halimi, Richard Douard, Olivier Mir, Emmanuel Masmejean
BACKGROUND: On November 13th, 2015, terrorist bomb explosions and gunshots occurred in Paris, France, with 129 people immediately killed, and more than 300 being injured. This article describes the staff organization, surgical management, and patterns of injuries in casualties who were referred to the Teaching European Hospital Georges Pompidou. METHODS: This study is a retrospective analysis of the pre-hospital response and the in-hospital response in our referral trauma center...
October 2016: Injury
Huseyin Taş, Rahman Şenocak, Şahin Kaymak, Emin Lapsekili
To analyze our approaches and experiences in patients with renal injuries accompanying penetrating abdominal injuries admitted to the hospital due to high kinetic energy weapons. Patients including renal injuries associated with penetrating abdominal injuries due to gunshot wounds and fragments of shell treated at our institution between February 2002 and May 2013 were retrospectively analyzed. Total 21 patients were included in this study, 20 of whom (86.2 %) were male and 1 (13.8 %) female. Renal injury was scaled in 2 patients as grade 1, 4 patients as grade 2, 4 patients as grade 3, 8 patients as grade 4, and 3 patients as grade 5...
August 2016: Indian Journal of Surgery
Dietrich Doll, Markus Eichler, Pantelis Vassiliu, Kenneth Boffard, Tim Pohlemann, Elias Degiannis
BACKGROUND: Penetrating trauma is becoming increasingly common in parts of the world where previously it was rare. At the same time, general surgeons and surgical trainees are becoming more specialized, and less comfortable operating within areas beyond their zone of specialization. OBJECTIVE: The purpose of this manuscript is to assess the technical difficulties encountered in operating on patients who have sustained penetrating trauma, and to prove to general surgeons that the technical skills and techniques required are no different to those required for abdominal surgery, and do not require additional dexterity...
August 23, 2016: World Journal of Surgery
Christos Stefanou, Nicolaos Zikos, George Pappas-Gogos, Spyridon Koulas, Ioannis Tsimoyiannis
Penetrating abdominal trauma has been traditionally treated by exploratory laparotomy. Nowadays laparoscopy has become an accepted practice in hemodynamically stable patient without signs of peritonitis. We report a case of a lower anterior abdominal gunshot patient treated laparoscopically. A 32-year-old male presented to the Emergency Department with complaint of gunshot penetrating injury at left lower anterior abdominal wall. The patient had no symptoms or obvious bleeding and was vitally stable. On examination we identified 1 cm diameter entry wound at the left lower abdominal wall...
2016: Case Reports in Surgery
Rym Ouertani, Anne Limelette, Thomas Guillard, Lucien Brasme, Yahia Jridi, Farouk Barguellil, Allaaeddin El Salabi, Christophe de Champs, Chedly Chouchani
The aim of this study was to determine the origin of virulence and multiresistance of a Klebsiella pneumoniae isolate from an abdominal wound infection of a patient with a gunshot injury in the thoracoabdominal region. The isolate was identified using biochemical tests and Phoenix™ automated system and was confirmed by matrix-assisted laser desorption/ionisation time-of-flight mass spectrometry (MALDI-TOF/MS). MICs of each antibiotic were determined by Etest. Screening for carbapenemase production was performed by the modified Hodge test and was confirmed by PCR amplification...
March 2016: Journal of Global Antimicrobial Resistance
S Barbois, J Abba, S Guigard, J L Quesada, A Pirvu, P A Waroquet, F Reche, O Risse, P Bouzat, F Thony, C Arvieux
This is a single center retrospective review of abdominal or abdomino-thoracic penetrating wounds treated between 2004 and 2013 in the gastrointestinal and emergency unit of the university hospital of Grenoble, France. This study did not include patients who sustained blunt trauma or non-traumatic wounds, as well as patients with penetrating head and neck injury, limb injury, ano-perineal injury, or isolated thoracic injury above the fifth costal interspace. In addition, we also included cases that were reviewed in emergency department morbidity and mortality conferences during the same period...
August 2016: Journal of Visceral Surgery
Doğan Alhan, İsmail Şahin, Serbülent Güzey, Andaç Aykan, Fatih Zor, Serdar Öztürk, Mustafa Nışancı, İsmail Hakkı Özerhan
BACKGROUND: Open abdomen is a salvage procedure that prevents catastrophes after severe intraabdominal traumas. However, following this life saving attempt, it is mostly not feasible to close the abdomen immediately after the recovery of intraabdominal injuries. Consequently, a staged reconstruction is required, and the first stage is usually a temporary closing approach. At the end of this stage, resulting giant "ventral hernia" is a burden for both the patient and the surgeon. Therefore a permanent repair is subsequently needed...
December 2015: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
Oleh Y Matsevych, Modise Z Koto, Sooraj R Motilall, Neha Kumar
BACKGROUND: Organ evisceration after penetrating abdominal trauma (PAT) carries a high rate of significant intra-abdominal injuries. There is uniform agreement that organ evisceration warrants immediate laparotomy. Nonoperative management of stable asymptomatic patients with evisceration is associated with a high failure rate. Most authors exclude patients with organ evisceration from laparoscopic management.The aims of this study were to determine the significance of organ evisceration in stable patients with PAT and to assess the feasibility of laparoscopic management of this group...
August 2016: Journal of Trauma and Acute Care Surgery
Emmanuel Olorundare Ojo, Kenneth N Ozoilo, Augustine Z Sule, Benjamin T Ugwu, Michael A Misauno, Bashiru O Ismaila, Solomon D Peter, Adeyinka A Adejumo
BACKGROUND: Abdominal injuries contribute significantly to battlefield trauma morbidity and mortality. This study sought to determine the incidence, demographics, clinical features, spectrum, severity, management, and outcome of abdominal trauma during a civilian conflict. MATERIALS AND METHODS: A prospective analysis of patients treated for abdominal trauma during the Jos civil crises between December 2010 and May 2012 at the Jos University Teaching Hospital. RESULTS: A total of 109 victims of communal conflicts with abdominal injuries were managed during the study period with 89 (81...
January 2016: Journal of Emergencies, Trauma, and Shock
Ü Güzelküçük, Y Demir, S Kesikburun, B Aras, F Yavuz, E Yaşar, B Yılmaz
STUDY DESIGN: Retrospective, comparative 7-year study. OBJECTIVES: To identify the clinical characteristics of patients with spinal cord injury (SCI) resulting from gunshot wound (GSW). SETTING: Turkish Armed Forces Rehabilitation Center, Ankara, Turkey. METHODS: The study included 1043 consecutive patients with SCI who were divided into two groups according to etiology: patients with gunshot-induced spinal cord injury (GSWSCI) constituted the study group, and randomly selected patients with non-gunshot-induced spinal cord injury (NGSWSCI) who were matched for gender and for week of admission constituted the control group...
September 2016: Spinal Cord
Sebastian D Schubl, R Jonathan Robitsek, Christian Sommerhalder, Kimberly J Wilkins, Taylor R Klein, Scott Trepeta, Vanessa P Ho
BACKGROUND: Penetrating injuries to the head and neck may not be able to cause unstable fractures without concomitant spinal cord injury, rendering prehospital spinal immobilization (PHSI) ineffectual, and possibly harmful. However, this premise is based on reports including predominantly chest and abdominal injuries, which are unlikely to cause cervical spine (CS) injuries. METHODS: We performed a retrospective review of all patients presenting with a penetrating wound to the head or neck over a 4-year period at an urban, level 1 trauma center to determine if there was a benefit of PHSI...
April 2016: American Journal of Emergency Medicine
Jack Rostas, Jon D Simmons, Mohommad A Frotan, Sidney B Brevard, Richard P Gonzalez
BACKGROUND: Many trauma surgeons and trauma centers use routine exploration of Gerota's fascia (GE) for renal gunshot wounds (RGSW). The purpose of this study was to assess whether RGSW can be selectively explored for patients who undergo exploratory laparotomy. METHODS: Retrospective 10-year review of all patients who underwent exploratory laparotomy for abdominal gunshot wounds and had RGSW selectively explored. RESULTS: Sixty-three patients with RGSW underwent exploratory laparotomy...
April 2016: American Journal of Surgery
Adam C Cerise, Alireza Hamidian Jahromi, David H Ballard, Quyen D Chu, Asser M Youssef, M Elaine Pahilan, Patsy H Warren, Navdeep S Samra
No abstract text is available yet for this article.
January 2016: American Surgeon
Ajay K Singh, Noah G Ditkofsky, John D York, Hani H Abujudeh, Laura A Avery, John F Brunner, Aaron D Sodickson, Michael H Lev
Although most trauma centers have experience with the imaging and management of gunshot wounds, in most regions blast wounds such as the ones encountered in terrorist attacks with the use of improvised explosive devices (IEDs) are infrequently encountered outside the battlefield. As global terrorism becomes a greater concern, it is important that radiologists, particularly those working in urban trauma centers, be aware of the mechanisms of injury and the spectrum of primary, secondary, tertiary, and quaternary blast injury patterns...
January 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Sanju Sobnach, Rajshree Segobin, Andrew Nicol, Sorin Edu, Delawir Kahn, Pradeep Navsaria
INTRODUCTION: Emergency laparotomy for abdominal gunshot wounds is frequently performed in South Africa and remains associated with significant morbidity and mortality. The occurrence of congenital anomalies during surgery is an unexpected finding and presents a major challenge. PRESENTATION OF CASE: The successful management of a haemodynamically unstable 26-year-old man with unilateral renal agenesis, concomitant right renal and hepatic injuries, and a transected Meckel's Diverticulum following an abdominal gunshot wound is presented...
2015: International Journal of Surgery Case Reports
George Younan, Edward Wills, Gordon Hafner
Splenosis is a historically uncommon etiology for bowel obstruction. Autotransplanted splenic tissues following surgery or trauma of the spleen are known to occur in multiple locations of the abdominal cavity and pelvis. The small bowel mesentery is a blood vessel-rich environment for growth of splenic fragments. We present a case of a 36-year-old male patient who sustained a gunshot wound to his left abdomen requiring a splenectomy and bowel resection fifteen years prior to his presentation with small bowel obstruction requiring exploration, adhesiolysis, and resection of the mesenteric splenic deposit...
2015: Case Reports in Surgery
Gabriel Costa Serrão de Araújo, Natália Teixeira Mourão, Igor Natário Pinheiro, Analúcia Rampazzo Xavier, Vinicius Schott Gameiro
BACKGROUND: Gunshot wounds require surgeons to decide whether to remove or leave bullet fragments in the body. Surgeons also decide how to follow up with patients who have lead fragments retained in their body. Current literature recommends to remove only intra-articular fragments without the need for a follow-up for patients with the metal retained. Therefore, this study investigates chronic lead toxicity for gunshot wounds. METHODS: The study was performed in the metropolitan area of Rio de Janeiro/Brazil, between 2013 and 2015...
2015: PloS One
Natasha Naidoo, David J J Muckart
BACKGROUND: Injury in childhood is a major cause of potentially preventable morbidity and mortality. In order to implement effective preventive strategies, epidemiological data on mechanisms of injury and outcome are essential. OBJECTIVES: To assess the causation, severity of injury, morbidity and mortality of paediatric trauma admitted to a level 1 trauma intensive care unit (TICU). METHODS: Children were defined as being <16 years of age...
October 2015: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
O Dandin, E J Valle, G Pimentha, C I Schulman, U Teomete, K G Proctor, N Namias
OBJECTIVES: Liver abscesses are approximately 50 % of all visceral abscesses, and trauma presents as a rare cause of the liver abscess. Otherwise, hepatic abscess is an uncommon complication of gunshot wound (GSW) to the liver among all trauma cases. Here we reviewed their experience in detail. METHOD: From January 1, 2004 to September 30, 2013, there were 2143 patients admitted to Ryder Trauma Center at Jackson Memorial Hospital/University of Miami with severe abdominal trauma: 1227 penetrating and 866 blunt...
September 16, 2015: Irish Journal of Medical Science
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