Firearm injury to the left buttock with uterus penetrating trauma.

Autor:	Pezzullo F; Department of Radiology, Ospedale del Mare, Naples, Italy., Marrone V; Department of Radiology, Ospedale del Mare, Naples, Italy., Comune R; Division of Radiology, Università degli Studi della Campania Luigi Vanvitelli, Naples, Italy., Liguori C; Department of Radiology, Ospedale del Mare, Naples, Italy., Borrelli A; Department of General and Emergency Surgery, Ospedale del Mare, Naples, Italy., Abete R; Department of General and Emergency Surgery, Ospedale del Mare, Naples, Italy., Picchi SG; Department of Radiology, Ospedale del Mare, Naples, Italy., Rosano N; Department of Radiology, Ospedale del Mare, Naples, Italy., D'avino R; Department of General and Emergency Surgery, Ospedale del Mare, Naples, Italy., Iacobellis F; Department of General and Emergency Radiology, 'Antonio Cardarelli' Hospital, Napoli, Italy., Ferrari R; Department of Emergency Radiology, San Camillo Forlanini Hospital, Rome, Italy., Tonerini M; Department of Emergency Radiology, Cisanello Hospital, Pisa, Italy., Tamburrini S; Department of Radiology, Ospedale del Mare, Naples, Italy.
Jazyk:	angličtina
Zdroj:	Radiology case reports [Radiol Case Rep] 2024 Sep 07; Vol. 19 (12), pp. 5639-5647. Date of Electronic Publication: 2024 Sep 07 (Print Publication: 2024).
DOI:	10.1016/j.radcr.2024.08.045
Abstrakt:	A multispecialty trauma team must provide care for pelvic gunshot wounds (PGW) due to the high risk of associated morbidity and mortality, the high density of organs that might be wounded within the pelvis, and the potential consequences of these complicated injuries. We present a case of a 59-year-old woman hemodynamically stable with firearm injury to the left buttock. CT examination showed free air in the peritoneal cavity and in the retroperitoneum and a focal contrast extravasation within the uterine fundus. The patient underwent urgent laparotomy that revealed triple bowel perforation (sigmoid colon, medium rectum, ileum) and a laceration of the posterior and anterior uterine wall at level of the cervix with no signs of active bleeding. The bullet was lodged above the peritoneal reflection, in the right pelvis, and it was removed, and handed over to the judicial authority. The perforated bowel segments were resected with Hartmann's procedure and ileal anastomosis. The uterine laceration was repaired. Although all the viscera and the structures along the trajectory can be harmed, pelvic gunshot wounds have the potential to inflict serious injury. Nongravid uterine traumas are a unique occurrence, and proper care requires an understanding of lesion grading. Finding the gynecological lesion in female patients is essential to receiving the best care and protecting the reproductive system. (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze:	MEDLINE
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