[Abdominal gunshot wound with multiple visceral lesions]

The authors present the case of a 21-years-old patient who was admitted in the hospital with a severe abdominal gunshot wound and hemorrhagic shock. Because of the gravity of the external bleeding and the severity of his general status he was admitted directly to the surgery room. The decision of surgical treatment was taken from the first look, so all the diagnostic maneuvers were taken in the surgery room at the same time with the preparations for general anesthesia and surgery, except for the clinical exam and preservation of blood and urine. The duration of the surgical operation was relatively short, almost 2 hours, compared with the visceral lesions identified and treated. The recovery was amazingly rapid, with no significant complications, the patient being discharged from the hospital after 17 days. This case has some particularities which can be discussed: immediate surgery is the only way to give a chance of survival in these kinds of situations; never loose time with other investigations; single gunshot wound of the abdomen determined 4 visceral lesions, every one of them being very severe; the patient had a very short period of recovery.