Perforation Of The Small Intestine Due To Thoracic Gunshot Injury

Year 2019, Volume: 10 Issue: 4, 128 - 131, 01.10.2019

Gökhan Kılınç Bülent Atik Sümeyye Kılınç Asli Akcan Atasoy

https://doi.org/10.33706/jemcr.544517

Cited By: 1

Abstract

Gunshot wounds can cause life-threatening injuries
because they are high-energy traumas. Even gunshot or rifle injuries to the
penetrating extraperitoneal abdomen or chest wall can cause damage to the
abdominal organs despite a robust peritoneum and diaphragm. There are two
different injury mechanisms resulting from gunshot wounds. These are related to
the ”crushing“ and ”stretching of the tissues. Penetration and permanent cavity
effects are generally visible in injuries with projectiles. The other major
impacts, especially the temporary cavity, are difficult to show and are not
known. In high-kinetic energy injuries, the temporary cavity is the main cause
of the major damage caused by the bullet. There are more dangerous and more
insidious effects than all of these, which is to create damage to the vascular
endothelium. In this case, the organ that feeds into this vein can no longer be
fed and goes to necrosis. Delayed perforation of the colon may occur within 72
hours after trauma. Gunshot wounds can cause serious injury. The organs near
the projectile can be injured. Caution should be exercised for the possibility
of indirect ballistic injury away from the projectile direction. Monitoring and
grading of these important injuries is very important in terms of mortality and
morbidity. We aimed to present a 19-year-old patient who had bowel perforation after a thoracic gunshot wound.

Keywords

Gunshot, thoracal injury, intestinal perforation, trauma

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