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CASE REPORT
Chirurgia 2017 June;30(3):112-6
DOI: 10.23736/S0394-9508.16.04632-5
Copyright © 2016 EDIZIONI MINERVA MEDICA
language: English
Successful selective non-operative management of abdominal gunshot wounds: the ballistic aspect
Saverio LATTERI 1, Maurizio MANNINO 1, Giuseppe CURRÒ 2, Mariangela MALAGUARNERA 3, Tommaso GUASTELLA 1 ✉
1 Operative Unit of General Surgery, Cannizzaro Hospital, Catania, Italy; 2 Department of Human Pathology, University of Messina, Messina, Italy; 3 Center for Research on Senescence, University of Catania, Catania, Italy
The management strategy for abdominal gunshot wounds has traditionally been mandatory laparotomy. Type of ammunition and weapon used are important data, often clinically underestimated to change the care strategy. We report two cases of patient who had been hit by a shotgun with abdominal and thoracic penetrating wounds conservatively treated. The simple penetration into the abdominal cavity cannot be considered anymore an absolute indication for surgery; considering the clinical parameters, ballistic evaluation of the wound can guide to a conservative strategy.
KEY WORDS: Forensic ballistics - Gunshot wounds - Laparotomy