A retained intrahepatic bullet in the Bermuda triangle: A case report of surgical extraction
| Autor: | Hosam Hamed Hamed Asar, Khalid Marzouk, Rihame M. Abdel Wahab, Amr Kassem, Mohamed Abdel Wahab |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Liver trauma business.industry General surgery GUNSHOT INJURY Retained foreign body Case Report medicine.disease 03 medical and health sciences 0302 clinical medicine Firearm injury Abdominal trauma Medical advice 030220 oncology & carcinogenesis Surgical extraction medicine 030211 gastroenterology & hepatology Surgery Foreign body business Foreign Bodies |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Retained hepatic foreign bodies after penetrating injury are rare. • It may be asymptomatic, or present with abdominal pain, mass, or an abscess. • The gold standard investigation in diagnosis and localization is abdominal CT with contrast. • Literature report high success rates for surgical extraction in large volume centers. • There is a need for a consensus about the management of retained hepatic foreign bodies. Introduction and importance The management of retained gunshot injury in the liver is not properly discussed in the literature. Case presentation We describe a rare case of intrahepatic retained foreign body (bullet). Our patient is a 39-year old Yemeni soldier, who was exposed to firearm injury 10 months previously. The patient sought medical advice to extract the foreign body, and it was successfully extracted through abdominal exploration, with no intraoperative or postoperative complications. Discussion Retained liver foreign bodies have three types, penetrating, medical, and migrating. Before the removal of the foreign body, good patient evaluation along with good surgical expertise should be present. Conclusion There is a need for general guidelines to manage such patients who should be assessed by high volume surgeons. |
| Databáze: | OpenAIRE |
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