#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Surprising findings during thoracic revision due to gunshot injury – a case report


Authors: B. Kútna 1;  J. Schützner 1;  J. Šimonek 1;  M. Švorcová 1;  I. Miler 2;  D. Myšíková 1;  R. Lischke 1
Authors place of work: III. chirurgická klinika 1. LF Univerzity Karlovy a FN Motol, Praha přednosta: prof. MUDr. R. Lischke, PhD 1;  Klinika kardiovaskulární chirurgie 2. LF Univerzity Karlovy a FN Motol, Praha přednosta: doc. MUDr. V. Rohn, CSc. 2
Published in the journal: Rozhl. Chir., 2017, roč. 96, č. 12, s. 510-513.
Category: Case Report

Summary

Introduction:
Gunshot thoracic injuries are not very common in our geographical location, occurring most frequently in the context of criminal activity or as a result of suicidal behavior.

Case report:
The authors report the case of a patient who, in a suicidal attempt, caused himself a combined penetrating gunshot injury of the chest with laceration of the lung and a heart gunshot hole, which was diagnosed peroperatively.

Conclusion:
Therapy of gunshot injuries in the era of modern medicine should be comprehensive in multidisciplinary cooperation.

Key words:
thoracic trauma − gunshot injury − lung injury − heart injury − thoracotomy


Zdroje

1. Látal J, Haruštiak S. Úrazy hrudníka. In: Haruštiak a kol. Princípy chirurgie II. 1. vydanie, Bratislava, SAP 2010:774–790.

1. Inci I, Ozçelik C, Taçyildiz I, et al. Penetrating chest injuries: unusually high incidence of high-velocity gunshot wounds in civilian practice. World J Surg 1998;22:438−42.

2. Hunt PA, Greaves I, Owens WA. Emergency thoracotomy in thoracic trauma-a review. Injury. 2006;37:1−19.

3. Campbell NC, Thomson SR, Muckart DJ, et al. Review of 1198 cases of penetrating cardiac trauma. Br J Surg 1997;84:1737−40.

4. Tyburski JG, Astra L, Wilson RF, et al. Factors affecting prognosis with penetrating wounds of the heart. J Trauma 2000;48:587−90,discussion 590−1.

5. Keel M, Meier C. Chest injuries − what is new? Curr Opin Crit Care 2007;13:674−9.

6. Brown J, Grover FL .Trauma to the heart. Chest Surg Clin N Am 1997;7:325−41.

7. Buckman RF Jr, Badellino MM, Mauro LH, et al. Penetrating cardiac wounds: prospective study of factors influencing initial resuscitation. J Trauma 1993;34:717−25,discussion 725−7.

8. Demetriades D, Velmahos GC. Penetrating injuries of the chest: indications for operation. Scandinavian Journal of Surgery 2002;91:41–5.

9. Ganguly T, Kar SK, Sen Ch, et al. Thoracic gunshot wound: A report of 3 cases and review of management. Journal of Universal Surgery 2015; Vol. 3 No. 1 :1−5.

10. Symbas PN, Harlaftis N, Waldo WJ. Penetrating cardiac wounds: A comparison of different therapeutic methods. Ann Surg 1976;183:377−81.

11. Shahani R. Penetrating chest trauma treatment & management. Medscape 2015. Available from: http://emedicine.medscape.com/article/425698-overview.

Štítky
Surgery Orthopaedics Trauma surgery
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#