Management of gunshot wound to the lumbosacral spine in a 17-year-old girl without neurological impairment.

Abstract:

:We report the case of a young girl (17-year-old) wounded by an accidental gunshot. The bullet entered through the skin midline over the navel area, passed through the stomach perforating the vena cava and, by breaking the right pedicle of L4, moved inside the vertebral canal (bridging the cauda equina) stopping just in front of the body of S2. Because of the sudden onset of acute abdomen due to a massive retroperitoneal hematoma, the patient underwent emergency explorative laparotomy with the evacuation of the hematoma and the suture of the perforated cava vein, the peritoneum, and the stomach. No neurological deficits were observed after the gunshot. Two weeks later, the patient underwent spinal surgery to remove the bullet from the spinal canal, which was performed successfully without any instrumentation and with no onset of new neurological signs and symptoms or surgery-related complications. Patient was discharged on day 9 after surgery in good general conditions.

authors

Bassani R,Morselli C,Agnoletto M,Brambilla L,Peretti GM

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

1-5. Congress of the Italian Orthopaedic Research

issue

4 Suppl. 3

eissn

0393-974X

issn

1724-6083

pii

1

journal_volume

34

pub_type

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