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Transvaginal Mesh Insertion in the Ovine Model
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Gunshot vaginal trauma.

Federica Dell'Aversana1, Rosita Comune1, Marco Scognamiglio1

  • 1Division of Radiology, Università degli Studi della Campania Luigi Vanvitelli, Naples, Italy.

Radiology Case Reports
|October 23, 2023
PubMed
Summary
This summary is machine-generated.

This case report details a rare instance of nonobstetric vaginal trauma from a gunshot wound. A tailored CT scan protocol, including intravaginal air, successfully diagnosed the injury, improving confidence in this challenging diagnosis.

Keywords:
CT protocol traumaGunshot injuryPenetrating traumaVaginal trauma

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Area of Science:

  • Forensic radiology
  • Trauma imaging
  • Emergency medicine

Background:

  • Nonobstetric vaginal or vulva trauma is exceptionally rare, accounting for less than 0.2% of all trauma cases.
  • Computed Tomography (CT) is the gold standard for diagnosing penetrating trauma, offering high sensitivity and specificity.
  • Standardized CT protocols for penetrating trauma, particularly regarding contrast administration, remain under discussion.

Observation:

  • A 43-year-old female presented with vaginal bleeding secondary to a gunshot wound.
  • A "patient's tailored" CT protocol was employed, incorporating the selective intravaginal use of air.
  • This approach was guided by the patient's symptoms and initial CT findings.

Findings:

  • The tailored 2-step CT protocol, including intravaginal air, significantly increased diagnostic confidence.
  • The protocol facilitated a correct and challenging diagnosis of gunshot vaginal trauma.
  • CT's role in evaluating complex penetrating injuries was highlighted.

Implications:

  • This case suggests that individualized CT protocols, potentially including selective intravaginal air, can be valuable in diagnosing rare penetrating vaginal trauma.
  • The findings may inform future standardized imaging approaches for similar injuries.
  • Enhanced diagnostic confidence is crucial for appropriate patient management in complex trauma cases.