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Gunshot Wound With Massive Intraintestinal Hemorrhage
Jonathan Wassink1, Thomas Holobyn2, Joseph A Prahlow3
1Western Michigan Homer Stryker M.D. School of Medicine, Kalamazoo, MI.
This article reports an unusual physical finding in a case involving the death of a 31-year-old female from multiple gunshot wounds. Physical examination at autopsy revealed a massive intraintestinal hemorrhage of 1.3 L with relatively little associated intraperitoneal and retroperitoneal hemorrhage. This case highlights the fact that, in select cases, the intestinal lumen is a potential space for extensive blood accumulation following abdominal trauma. Emergency physicians and trauma surgeons should be aware of the potential for such an occurrence in patients with similar traumas.
This article reports an unusual physical finding in a case involving the death of a 31-year-old female from multiple gunshot wounds. Physical examination at autopsy revealed a massive intraintestinal hemorrhage of 1.3 L with relatively little associated intraperitoneal and retroperitoneal hemorrhage. This case highlights the fact that, in select cases, the intestinal lumen is a potential space for extensive blood accumulation following abdominal trauma. Emergency physicians and trauma surgeons should be aware of the potential for such an occurrence in patients with similar traumas.
