A case of a mandibular gunshot wound.
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Abstract:
A 21-year-old male was shot with a handgun in the mandible, chest, inguinal region, and upper limbs. Upon admission to the emergency room, vital signs were relatively stable.X-ray examination of the head and neck region apparently revealed that the right side of the mandible was fractured and that the bullet-shaped radiopaque object was lodged in the tongue. However, because the radiopaque object in the tongue was found intraoperatively to be a full cast crown on the mandibular firstmolar, the initial clinical impression of the route that the bullet passed through the body proved to be mistaken. The comminuted mandibular fracture was reduced and stabilized with a miniplate under general anesthesia.Five months later, after an abscess appeared in the right submandibular region, the remaining bullet fragments were surgically removed. The postoperative course was uneventful.The unique characteristics of gunshot wounds shoud be carefully considered at initial assessment.Keywords:
Gunshot wound
Mandible (arthropod mouthpart)
Mandibular fracture
GUNSHOT INJURY
Gunshot wounds of the spine account for 10-21% of all spinal and cerebro-spinal injuries of civil and military time. Most gunshot penetrating wounds do not impair the stability of the spine, and in some cases are not accompanied by damage to the bone structure and do not require stabilizing aids. The article discusses the possibility and discusses the expediency of using minimally invasive surgical methods for gunshot wounds of the spine, in particular percutaneous video endoscopy, on the example of its successful implementation in a 24-year-old man who received a gunshot blind penetrating wound in the lumbar spine.
GUNSHOT INJURY
Gunshot wound
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Approximately 3.6% of abdominal gunshot injuries result in urinary bladder damage. However, damage to the nearby organs frequently goes along with bladder injuries brought on by a gunshot wound. One must expect two injury sites in a urinary bladder gunshot wound because failure to close one site may lead to severe complications. In the present study, the case of a 30-year-old male patient with an isolated bladder injury with a single perforation after being shot in the left iliac fossa is presented and discussed based on the literature.
GUNSHOT INJURY
Gunshot wound
Perforation
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Self-inflicted gunshot wounds are a common cause of firearm-related deaths. The appearance and location of the entry wound, other concomitant findings at autopsy, and correlation with the scene and circumstances are critical in determining the manner of death. A case of a 72-year-old man with a self-inflicted gunshot wound with an unusual injury pattern is described. There was a contact range gunshot entry in the right temple, and an exit wound was seen in the left parietal region. There was a re-entry with an associated exit wound on the left hand.
Gunshot wound
GUNSHOT INJURY
Concomitant
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A 36-year-old man presented to the emergency department with a gunshot injury to his neck. He was intubated and taken to the operating room. As his neck was being dissected, an air leak in the trachea, indicative of a direct injury from the gunshot wound, was detected. This was repaired successfully. No damage to the esophagus was seen during an intraoperative esophagoscopy.
Gunshot wound
GUNSHOT INJURY
Neck injury
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A gunshot wound to the ureter was diagnosed angiographically. Such injuries are not common; however, they are frequent enough and the consequences of delayed diagnosis and secondary repair are serious enough that ureteric injury should be considered in all cases of abdominal trauma.
Gunshot wound
GUNSHOT INJURY
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In patients presenting with gunshot wounds, a high clinical suspicion of injury to vasculature and viscera remote from the projectile track is paramount. We present a case of a 17 year old male who sustained a gunshot wound to his abdomen and subsequently developed a right external iliac artery contusion requiring surgery as an indirect effect of the pressure wave from the bullet.
Gunshot wound
GUNSHOT INJURY
External iliac artery
Pressure wave
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We analyzed civilian gunshot wounds of maxillofacial area in 87 patients living in the Arkhangelsk region. It is noted that gunshot injuries most often occur as a result of the attempted suicide (45 cases (51,7%)), firearm associated crimes (33 cases (37,9%)) and careless handling with the weapon (9 cases (10,4%)). The most common wound canal features are described. In the majority of cases tangential gunshot wounds were seen (55 cases (63,2%)), penetrating wounds (19 cases (21,8%)) and perforating wounds (13 cases (15)). During the last years increased the number of gunshot injures by traumatic weapons (11 (12.6%)). It is recommended to take into consideration the direction and topography of the wound canals during the debridement.
GUNSHOT INJURY
Gunshot wound
Debridement (dental)
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Surgical Repair of a Gunshot Injury to the Left Carotid Artery: Case Report and Review of Literature
We present a case of a 37-year-old man who sustained a single gunshot wound (penetrating zones I and II) and internal carotid artery injury. Optimal evaluation and management of vascular injury remains controversial. Literature on the operative techniques of carotid artery injuries is reviewed.
GUNSHOT INJURY
Gunshot wound
External carotid artery
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Lead poisoning from gunshot wounds is unusual. Awareness of this rare but serious complication can guide the physician in making a prompt diagnosis. We present a case of a 30-year-old male who had a remote history of a gunshot wound in the right knee and presented with right knee pain. Plain film showed intrarticular invasion of the bullet fragments. He was also found to have microcytic anemia with high blood lead levels. Chelation therapy was immediately started, followed with surgical removal of the bullet fragments. Lead intoxication is a rare but fatal complication of gunshot wounds. After a timely diagnosis, chelation therapy should be immediately started.
Gunshot wound
GUNSHOT INJURY
Chelation Therapy
Lead intoxication
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Lead poisoning has infrequently resulted from gunshot wounds with retained lead particles in adults. This has not been previously found in children. The case of an 8-year-old boy in whom lead poisoning developed soon after a gunshot wound is reported. The child had no symptoms directly related to lead poisoning, but he received chelation therapy. The case demonstrates the need to consider lead poisoning in children with retained particles following gunshot wounds.
Gunshot wound
GUNSHOT INJURY
Chelation Therapy
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