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Shrapnel injury due to a firecracker causing gastric and gallbladder perforation
Dipesh D Duttaroy1, Jitendra Jagtap, Ujjwal Bansal
1Government Medical College Baroda & Sir Sayajirao General Hospital, Gujarat, India. drduttaroy@gmail.com
Abstract:
A 14-year-old boy presented with a penetrating injury to the abdomen after trying to light a firecracker. A piece of metal from the tin box in which he had ignited the firecracker had penetrated his abdomen. The patient, who was in a state of shock, underwent ultrasonography (USG) and radiography of the abdomen. USG revealed free fluid in the abdomen, while abdominal radiographs demonstrated free gas and a radiopaque object. Exploration revealed gastric and gallbladder perforations for which repair and cholecystectomy were done, respectively. Visceral injury following a firecracker explosion has not been reported previously. We would like to stress the importance of parental supervision to prevent irresponsible use of firecrackers, which can cause potentially life-threatening visceral injuries.
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