Warning: mkdir(): Permission denied in /home/virtual/lib/view_data.php on line 93 Warning: chmod() expects exactly 2 parameters, 3 given in /home/virtual/lib/view_data.php on line 94 Warning: fopen(/home/virtual/tipjournal/journal/upload/ip_log/ip_log_2024-12.txt): failed to open stream: No such file or directory in /home/virtual/lib/view_data.php on line 100 Warning: fwrite() expects parameter 1 to be resource, boolean given in /home/virtual/lib/view_data.php on line 101 Usefulness of C-Arm Fluoroscopy in Treating Patients Injured by a Shotgun
TIP Search

CLOSE


Trauma Image and Procedure > Volume 3(1); 2018 > Article
Jung and Kwon: Usefulness of C-Arm Fluoroscopy in Treating Patients Injured by a Shotgun

Abstract

Shotgun injury, a rare event, is difficult to treat. Moreover, it is annoying and difficult to locate and remove bullets from patients using surgery. Here, we describe here a shotgun injury case wherein we removed the bullets using C-Arm fluoroscopy.

CASE

A 79-year-old male with no medical history was admitted to the emergency room with multiple shotgun injuries. He was mistakenly shot by a hunter hunting for a water deer. Upon admission, the patient was hemodynamically stable, but showed multiple shotgun injuries on the head, chest, abdomen, forearm, and leg (Fig. 1.). Further, he had hemoperitoneum and peritonitis because of bowel perforation and a mesentery injury. We accordingly planned for an emergency abdominal surgery followed by an orthopedic surgery (Fig. 2.). We employed C-Arm fluoroscopy to accurately locate the bullets in his body and to check for any remaining bullets. All bullets were removed using C-Arm fluoroscopy (Fig. 3.). The patient recovered without any complications.

DISCUSSION

High-velocity firearm bullets travel at a speed of >2000 ft/s and transfer high energy to the tissues, whereas those of low-velocity weapons travel at <1000 ft/s. Shotgun is an example of the latter type. A shotgun cartridge contains pellets of varying sizes (very small to large) [1]. Therefore, it is difficult to locate and remove these bullets from patients injured by a shotgun. In conclusion, C-Arm fluoroscopy is a useful modality for treating patients injured by a shotgun.

Notes

Conflict of Interest Statement

No potential conflict of interest relevant to this article was reported.

Fig. 1.
Plain X-Ray indicating bullet wounds at multiple sites
tip-3-1-23f1.jpg
Fig. 2.
Surgical finding of a small bowel injury
tip-3-1-23f2.jpg
Fig. 3.
Total bullets removed from the patient
tip-3-1-23f3.jpg

REFERENCES

1. Jaramillo PM, Montoya JA, Mejia DA, et al. Nonoperative Management of Multiple Penetrating Cardiac and Colon Wounds from a Shotgun: A Case Report and Literature Review. Case Rep Surg. 2018 Jan 24;2018: 7839465.
crossref pmid pmc pdf
TOOLS
Share :
Facebook Twitter Linked In Google+
METRICS Graph View
  • 0 Crossref
  •    
  • 6,021 View
  • 57 Download


ABOUT
ARTICLE CATEGORY
Article Category

Browse all articles >

BROWSE ARTICLES
FOR AUTHORS AND REVIEWERS
Editorial Office
Korean Association for Research, Procedures and Education on Trauma
#1618, 18, Mapo-daero 4da-gil, Mapo-gu, Seoul 04177, Korea
Tel: +82-2-3280-9013    E-mail: karpet@karpet.or.kr

Copyright © 2024 by Korean Association for Research Procedures and Education on Trauma.

Developed in M2PI

Close layer
prev next