title: Gunshot wound without entrance hole: where is the trick? - a case report and review of the literaturer.
abstract: The presence at CT scan of more retained bullets than expected could be a very difficult interpretation challenge in the early management of gunshot wounds. The modern non operative management of haemodinamically stable patients without peritonitis requires that the trajectory of the bullet is clearly recognized. This clinical case reporting of a gunshot wound without evident entry hole, allows to discuss the diagnostic and therapeutic implications in the management of gunshot wounds cases with atypical entry and/or exit holes.
authors.affiliation: Surgical Clinic, University of Brescia, P.le Spedali Civili, 1, 25123 Brescia, Italy.
authors.forename: Silvia
authors.initials: S
authors.lastname: Ministrini
authors.affiliation: Surgical Clinic, University of Brescia, P.le Spedali Civili, 1, 25123 Brescia, Italy.
authors.forename: Gianluca
authors.initials: G
authors.lastname: Baiocchi
authors.affiliation: Radiologic Department, University of Brescia, Brescia, Italy.
authors.forename: Frida
authors.initials: F
authors.lastname: Pittiani
authors.affiliation: Surgical Clinic, University of Brescia, P.le Spedali Civili, 1, 25123 Brescia, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Lomiento
authors.affiliation: Surgical Clinic, University of Brescia, P.le Spedali Civili, 1, 25123 Brescia, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Gheza
authors.affiliation: Surgical Clinic, University of Brescia, P.le Spedali Civili, 1, 25123 Brescia, Italy.
authors.forename: Nazario
authors.initials: N
authors.lastname: Portolani
keywords: Atypical inlet hole; Diagnosis; Gunshot; Intestinal perforation; Laparoscopy; Laparotomy