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Bullet within the spinal canal.

D C Mann1, R Tall, J S Brodkey

  • 1Department of Orthopedics, Clinical Science Center, Madison, Wisconsin.

Orthopaedic Review
|April 1, 1989
PubMed
Summary
This summary is machine-generated.

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A young girl sustained a gunshot wound to the abdomen, causing bowel perforations and lower extremity neurological deficits. The bullet lodged in her spinal canal and was successfully removed.

Area of Science:

  • Trauma Surgery
  • Neurosurgery
  • Pediatric Surgery

Background:

  • Gunshot wounds in pediatric patients are rare but can cause severe intra-abdominal and spinal injuries.
  • Delayed diagnosis and management can lead to significant morbidity and mortality.

Observation:

  • A 13-year-old female presented with a gunshot wound to the abdomen.
  • Initial examination revealed multiple small bowel perforations and incomplete neurologic injury of the lower extremities.
  • No exit wound was identified on physical examination.

Findings:

  • Radiographic imaging confirmed the bullet's intraspinal location at the thoracolumbar junction.
  • The bullet was surgically removed on a non-urgent basis.
  • Histopathological analysis of the bullet and surrounding tissue is pending.

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Implications:

  • This case highlights the importance of thorough imaging in abdominal gunshot wounds, especially when an exit wound is not apparent.
  • Early surgical intervention for intra-abdominal injuries and delayed, non-urgent removal of intraspinal foreign bodies can lead to favorable outcomes.
  • Multidisciplinary management involving trauma surgery and neurosurgery is crucial for optimizing patient care.