Penetrating abdominal injuries have been traditionally managed by routine laparotomy. New understanding of trajectories, potential for organ injury, and correlation with advanced radiographic imaging has allowed a shift towards non-operative management of appropriate cases. Although a selective approach has been established for stab wounds, the management of abdominal gunshot wounds remains a m...

Penetrating injuries to the spine, although less common than motor vehicle accidents and falls, are important causes of injury to the spinal cord. They are essentially of two varieties: gunshot or stab wounds. Gunshot injuries to the spine are more commonly described. Stab wounds are usually inflicted by knife or other sharp objects. Rarer objects causing incidental spinal injuries include glas...

We undertook this retrospective review to examine the appropriateness of a protocol for the selective emergency department (ED) workup of asymptomatic penetrating truncal injuries. Records of consecutive patients presenting to our urban Level I trauma center with penetrating truncal injuries between January 1, 1997 and September 2000 were reviewed. Data obtained included: patient demographics, ...

Penetrating gallbladder injuries are uncommon in the pediatric population. The treatment varies according to severity of injury and patient’s hemodynamics. We present case an 11-year-old male with accidental pellet gunshot wound right upper abdomen that resulted a grade III liver laceration damage anterior wall. patient underwent laparoscopic cholecystectomy drain placement. Postoperative rad...

Penetrating orbital trauma necessitates a multidisciplinary approach because complex injuries often encompass damage to the brain, eyes, and disfigurement of face.

OBJECTIVE Although several articles can be found on wrist trauma, a detailed literature search reveals limited articles that are focused specifically on penetrating puncture wounds of the wrist and the clinical approach to puncture-type penetrating wrist injuries. The number of penetrating injuries of the wrist has increased dramatically, especially since the widespread usage of the nail gun an...