A mystery: one wound, multiple bullets.
This case report provides an unusual presentation of a gunshot wound (GSW) and stresses the importance of gathering complete clinical, scene and historical information, if possible. Sufficient details regarding an injured patient's mechanism of injury (MOI) should be elicited by the treating physician when hemodynamic status of the patient allows. A careful physical exam is essential as are appropriate laboratory investigations and diagnostic imaging. We present a case report of a single GSW found on physical exam with multiple projectiles found on imaging studies. The history of present illness, scene findings and trial transcripts clarify the patient presentation.
Lilienstein
David A
DA
Department of Emergency Medicine, Kaiser Permanente Medical Group, Walnut Creek and Antioch, CA, USA.
Van Gelder
Carin M
CM
D000328:Adult; D044709:Forensic Ballistics; D006801:Humans; D008099:Liver / Q000293:injuries / Q000473:pathology; D008297:Male; D013902:Radiography, Thoracic; D013898:Thoracic Injuries / Q000473:pathology; D014948:Wounds, Gunshot / Q000473:pathology*