Multiple thoracoabdominal gunshot wounds with complicated trajectories.
A 41-year-old man was shot three times with a custom-made handgun. There were six small round wounds on the surface from two bullets that went into the body and one bullet found in a wall behind the victim at the scene. The gunshot wound in the left supraclavicular region bled massively. He was transferred to our hospital and soon fell into shock. A chest radiogram showed right hemothorax. Resuscitation and blood transfusion were started, and right thoracic drainage was immediately undertaken. The left subclavicular region was incised, and bleeding from the left subclavian vein stopped. Right thoracotomy was done, and bleeding from the lung was controlled. Laparotomy was needed to look for the missing trajectory. Speculation regarding trajectories of bullets in patients with multiple thoracoabdominal gunshot wounds is difficult, and an emergent operation is often needed to control bleeding or to evaluate possible organ injury.
Iwata
Takashi
T
Department of Thoracic Surgery, Osaka City University Hospital, 1-4-3 Abeno-ku, Asahi-machi, Osaka 545-8585, Japan. taiwata@med.osaka-cu.ac.jp
Inoue
Kiyotoshi
K
Hige
Masaaki
M
Yamazaki
Keiichi
K
Kawata
Yasuhiro
Y
Suehiro
Shigefumi
S
D000007:Abdominal Injuries / Q000473:pathology* / Q000601:surgery; D000328:Adult; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000473:pathology* / Q000601:surgery; D013898:Thoracic Injuries / Q000473:pathology* / Q000601:surgery; D014948:Wounds, Gunshot / Q000473:pathology* / Q000601:surgery