Gunshot wound to the chest and liver

Case contributed by Dr Michael P Hartung

Presentation

Gunshot wound.

Paperclip indicated entry wound and overlies and right lower chest. 

Bullet terminates in the right posterior thoracic soft tissues. 

Path of bullet: Right middle lobe injury, through the liver with large laceration, body wall. 

Right chest tube with medium hemothorax. 

Case Discussion

This case illustrates how understanding the pathway of the bullet assists in quickly identifying and understanding the pattern of injury. 

The scout images can be particularly helpful when looking for paperclips indicating the site of entry/exit wounds.  

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Case information

rID: 68362
Published: 19th Jun 2019
Last edited: 14th Aug 2019
System: Trauma
Inclusion in quiz mode: Included

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