Abstract
This case report involves a 57-year-old male, accidentally shot in the chest with a small bore firearm. The bullet entered the left hemithorax, disrupting the left internal mammarian artery. It then penetrated the anterior wall of the right ventricle causing a pericardial tamponade. After leaving the base of the right heart it perforated the diaphragm, the liver, the spleen and the pancreas. Finally, it penetrated the abdominal aorta 3 cm proximally to the coeliac trunk and reached its final position paravertebrally. This case report illustrates that the management of even minimum gunshot wounds requires a maximum variety of surgical skills.
MeSH terms
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Accidents*
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Aorta / injuries
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Cardiac Surgical Procedures
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Cardiac Tamponade / etiology
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Diaphragm / injuries
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Digestive System Surgical Procedures
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Forensic Ballistics
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Heart Injuries / etiology
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Heart Ventricles / injuries
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Hemodynamics
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Humans
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Liver / injuries
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Male
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Mammary Arteries / injuries
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Middle Aged
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Multiple Trauma / etiology*
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Multiple Trauma / physiopathology
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Multiple Trauma / surgery
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Pancreas / injuries
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Spleen / injuries
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Thoracic Injuries / etiology*
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Thoracic Injuries / physiopathology
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Thoracic Injuries / surgery
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Treatment Outcome
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Vascular Surgical Procedures
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Wounds, Gunshot / etiology*
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Wounds, Gunshot / physiopathology
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Wounds, Gunshot / surgery