Document Detail

Multiple thoracoabdominal gunshot wounds with complicated trajectories.
MedLine Citation:
PMID:  17087326     Owner:  NLM     Status:  MEDLINE    
A 41-year-old man was shot three times with a custom-made handgun. There were six small round wounds on the surface from two bullets that went into the body and one bullet found in a wall behind the victim at the scene. The gunshot wound in the left supraclavicular region bled massively. He was transferred to our hospital and soon fell into shock. A chest radiogram showed right hemothorax. Resuscitation and blood transfusion were started, and right thoracic drainage was immediately undertaken. The left subclavicular region was incised, and bleeding from the left subclavian vein stopped. Right thoracotomy was done, and bleeding from the lung was controlled. Laparotomy was needed to look for the missing trajectory. Speculation regarding trajectories of bullets in patients with multiple thoracoabdominal gunshot wounds is difficult, and an emergent operation is often needed to control bleeding or to evaluate possible organ injury.
Takashi Iwata; Kiyotoshi Inoue; Masaaki Hige; Keiichi Yamazaki; Yasuhiro Kawata; Shigefumi Suehiro
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai zasshi     Volume:  54     ISSN:  1344-4964     ISO Abbreviation:  Jpn. J. Thorac. Cardiovasc. Surg.     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-11-07     Completed Date:  2007-01-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884261     Medline TA:  Jpn J Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  444-7     Citation Subset:  IM    
Department of Thoracic Surgery, Osaka City University Hospital, 1-4-3 Abeno-ku, Asahi-machi, Osaka 545-8585, Japan.
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MeSH Terms
Abdominal Injuries / pathology*,  surgery
Multiple Trauma / pathology*,  surgery
Thoracic Injuries / pathology*,  surgery
Wounds, Gunshot / pathology*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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