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Nonoperative Management of Multiple Penetrating Cardiac and Colon Wounds from a Shotgun: A Case Report and Literature Review
Joint Authors
Pereira-Warr, Salin
Jaramillo, Paula M.
Montoya, Jaime A.
Mejia, David A.
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-01-24
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
Surgery for cardiac trauma is considered fatal and for wounds of the colon by associated sepsis is normally considered; however, conservative management of many traumatic lesions of different injured organs has progressed over the years.
Presentation of the Case.
A 65-year-old male patient presented with multiple shotgun wounds on the left upper limb, thorax, and abdomen.
On evaluation, he was hemodynamically stable with normal sinus rhythm and normal blood pressure, no dyspnea, or abdominal pain.
Computed tomography (CT) scan of the chest shows hematoma around the aorta without injury to the blood vessel wall with an intramyocardial projectile without pericardial effusion.
CT scan of the abdomen showed pellets in the transverse colon and descending colon endoluminal without extravasation of contrast medium or intra-abdominal fluid.
The patient remains hemodynamically stable, and nonsurgical procedure was established.
Discussion.
Patients with asymptomatic intramyocardial projectiles can be safely managed without surgery.
Nonsurgical management is only possible in asymptomatic patients with trauma of the colon through close surveillance and with very selective patients since standard management is surgery.
Conclusion.
Nonsurgical management of cardiac trauma, as well as colon penetrating trauma, can be performed in carefully selected patients with proper clinical follow-up, imaging, and laboratory studies.
American Psychological Association (APA)
Jaramillo, Paula M.& Montoya, Jaime A.& Mejia, David A.& Pereira-Warr, Salin. 2018. Nonoperative Management of Multiple Penetrating Cardiac and Colon Wounds from a Shotgun: A Case Report and Literature Review. Case Reports in Surgery،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1150900
Modern Language Association (MLA)
Jaramillo, Paula M.…[et al.]. Nonoperative Management of Multiple Penetrating Cardiac and Colon Wounds from a Shotgun: A Case Report and Literature Review. Case Reports in Surgery No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1150900
American Medical Association (AMA)
Jaramillo, Paula M.& Montoya, Jaime A.& Mejia, David A.& Pereira-Warr, Salin. Nonoperative Management of Multiple Penetrating Cardiac and Colon Wounds from a Shotgun: A Case Report and Literature Review. Case Reports in Surgery. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1150900
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150900