We report an unusual case of an accidental firearm injury, in a 35-year-old male firearm trainer, by a bullet cover fired in a retrograde manner, which was lodged in his right nasal cavity just reaching sphenoid sinuses without any neurological impairment. The extent of tissue damage and posterior extent of tract was assessed by plain radiography and CT scans. The bullet cover was recovered und...

BACKGROUND Gunshot wounds to the cervical spine most frequently concur with serious injuries to the spinal cord and cervical vessels and often have a fatal outcome. CASE REPORT We describe the case of a 35-year-old male with a complex fracture of the C2 vertebra body and a mandibular fracture after a penetration gunshot to the cervical spine. Computed tomography (CT) at admission revealed the...

Constrictive pericarditis is an uncommon post-inflammatory disorder characterized by a variably thickened, fibrotic, and frequently calcified, pericardium. Etiology of the constriction can occur for many reasons. Although foreign bodies are not the common cause of constrictive pericarditis, the long-term presence of foreign bodies, like bullets, is presumed to cause chronic constrictive pericar...

Patients with bullets in the pericardial sac without myocardial injuries are rare and most commonly are associated with significant trauma. The diagnosis of an intrapericardial foreign body can be difficult. Its removal is always indicated because it prevents pericarditis either sterile or infectious with potential for other significant complications. The syndrome of acute intermittent pericard...

Penetrating abdominal trauma has been traditionally treated by exploratory laparotomy. Nowadays laparoscopy has become an accepted practice in hemodynamically stable patient without signs of peritonitis. We report a case of a lower anterior abdominal gunshot patient treated laparoscopically. A 32-year-old male presented to the Emergency Department with complaint of gunshot penetrating injury at...

A 45-year-old man developed Horner's syndrome after sustaining an intraoral gunshot in a suicide attempt. Examination did not show any major vascular injury or other neurological symptoms. Radiograph of the skull and helical computed tomography angiography of the brain and neck detected a bullet embedded in the interior of the left internal carotid artery (ICA) sheath. Surgical examination show...

The incidence of bullet wounds in civilian trauma has increased in many parts of the world, sometimes approaching epidemic level. For surgeons with limited experience there is a bewildering range of apparently contradictory advice on management. An attempt to clarify this for gunshot injuries of the limbs, without major vascular injury, must include current concepts of ballistic wounding, the p...

437 unusual case of orbital trauma with a large foreign body in the maxilla. Br J Plast Surg 1999;52:507-8. 3. Neff LL, Liess BD, Chang CW. Transoral endoscopic removal of a bullet from the infratemporal fossa. Otolaryngol Head Neck Surg 2008;138:113-4. 4. Grobbelaar A, Knottenbelt JD. Retained knife blades in stab wounds of the face: is simple withdrawal safe? Injury 1991;22:29-31. 5. Cosan TE...

We present the case of a patient who sustained a penetrating injury to the chest caused by an attenuated energy rubber bullet and review the literature on thoracic injuries caused by plastic and rubber "less-lethal" munitions. The patient of this report underwent a right thoracotomy to extract the projectile as well as a wedge resection of the injured lung parenchyma. This case demonstrates tha...

A case of post-traumatic arteriovenous fistula in the left thigh is reported 25 years after injury with haematuria. The patient had sustained bullet injury in his left thigh in 1986. Clinically, he had thrill and bruit in his left thigh and groin. Ultrasound abdomen and pelvis revealed a vascular mass in the left side of urinary bladder. CT angiography showed communication between left superfic...