Traditionally, mandatory exploration was the rule for managing penetrating abdominal trauma, but this has begun to change in the recent era. The change first affected stab injuries, in which the conservative approach in appropriate cases has gained wide spread acceptance. Relatively recently, the management of gunshot injuries to the abdomen has been similarly affected, and several reports appe...

Penetrating injuries to the abdominal aorta are highly lethal despite increasing numbers of reports of successful treatment. A case of survival after a 0,25-calibre gunshot wound of the abdominal aorta is presented. The patient, a young male, also had associated injuries to the liver, stomach and jejunum. He was managed by vigorous resuscitation, emergency laparotomy, aortic debridement and end...

Among the main causes of TBI, we have traffic accidents, sports, falls, work-related accidents, aggressions, including gunshot wounds, blast injuries and other weapons. Thanks to the improvement in the development of devices to protect the occupants of vehicles and some other preventive measures, a reduction in the rate of mortality associated with TBI has been achieved [2,3], especially in the...

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...

Facial gunshot injuries are unusual and complicated clinical entities. Because of the mechanism of injury, early aggressive primary reconstruction might not be ideal. Initial conservative management followed by staged secondary reconstruction could be performed to obtain satisfactory functional and aesthetic results. Reconstruction of the cranio-maxillo-facial deformities requires a multi-disci...

BACKGROUND To present a patient with an indirect blast rupture of the head of pancreas, as well as with a blast contusion of the duodenum following abdominal gunshot injury. CASE REPORT A patient with the abdominal gunshot injury was submitted to the management of the injury of the liver, gaster and the right kidney in the field hospital. The revealed rupture of the head of the pancreas and t...

Firearm injuries are regarded as a special form of blunt trauma. The damage to the organism is caused by the impact of a single projectile (or a multitude of pellets) propelled from a barrel by high-pressure combustion gases and striking the body at a high velocity. Gunshot wounds, in a broader sense, are also lesions caused by blank-cartridge weapons as well as injuries due to livestock stunne...

BACKGROUND Disturbing trends regarding the sex, age, and race of gunshot victims have been reported in previous national studies; however, gunshot trends have not been well documented in individual cities in the southeastern United States. OBJECTIVES 1) Analyze trends in gunshot wounds, particularly the association between gunshot wounds and race, among victims presenting to a Level I Trauma ...

Major injuries of the pancreas are uncommon, but may result in considerable morbidity and mortality because of the magnitude of associated vascular and duodenal injuries or underestimation of the extent of the pancreatic injury. Prognosis is influenced by the cause and complexity of the pancreatic injury, the amount of blood lost, duration of shock, speed of resuscitation and quality and nature...