Gunshot wound to the abdomen

  • Dragan Korolija-Marinic
  • Goran Pavlek
  • Goran Augustin
  • Ivan Krhen
  • Petar Matosevic
  • Mate Skegro
Keywords: vena cava, vascular system injury, gunshot wounds, multiple trauma

Abstract

Injuries to the inferior vena cava have always carried a high mortality rate. Although the mortality rate has decreased over time, their care remains a significant surgical challenge. We present a case of a 21-year-old man who suffered a gunshot wound in the right lumbar region. We showed the clinical picture of the patient upon arrival, the course of treatment at the Department of Emergency Medicine at UHC Zagreb and the method of surgical care. We compared our results with those of the currently available literature for the identification of predictive factors that could affect the favorable outcome. Our goal was to show how a quick reaction, a rapid surgical intervention and an experienced surgical team can lead to a favorable outcome, which is also shown.

Downloads

Download data is not yet available.

References

Hansen et al., Abdominal vena caval injuries; Surgery. 2000 Oct;128(4):572-8.

Ombrellaro MP, Freeman MB, Stevens SL, Diamond DL, Goldman MH. Predictors of survival after inferior vena cava injuries. Am Surg 1997;63:178-83.

Wiencek RG, Wilson RF. Inferior vena cava injuries: the challenge continues. Am Surg 1988;54:423-8.

Sirinek KR, Gaskill HV, Root HD, Levine BA. Truncal vascular injury: factors influencing survival. J Trauma 1983;23:372-7.

Rosengart MR, Smith DR, Melton SM, May AK, Rue LW III. Prognostic factors in patients with inferior vena cava injuries. Am Surg 1999;56:849-56.

Burch JM, Feliciano DV, Mattox KL, Edelman M. Injuries of the inferior vena cava. Am J Surg 1988;156:548-52.

Klein SR, Baumgartner FJ, Bongard FS. Contemporary management strategy for major inferior vena caval injuries. J Trauma 1994;37:35-42.

Jackson MR, Olson DW, Beckett WC, Olsen SB, Robertson FM. Abdominal vascular trauma. Am Surg 1992;58:622-6.

Coimbra R, Prado PA, Araujo LH, Candelaria PAP, Caffaro RA, Rasslan S. Factors related to mortality in inferior vena cava injuries: a 5 year experience. Int Surg 1994;79:138-41.

Coimbra R, Prado PA, Araujo LH, Candelaria PAP, Caffaro RA, Rasslan S. Factors related to mortality in inferior vena cava injuries: a 5 year experience. Int Surg 1994;79:138-41.

Asensio JA, Lejarraga M. Abdominal vascular injuries. In: Demetriades D, Asensio JA, eds. Trauma Management. Georgetown, Tex: Landes Biosciences; 2000:356-362.

Feliciano DV. Abdominal vessels. In: Ivatury R, Cayten CG, eds. The Textbook of Penetrating Trauma. Baltimore: Williams and Wilkins; 1996:702-716.

Published
2012-03-15
How to Cite
1.
Korolija-Marinic D, Pavlek G, Augustin G, Krhen I, Matosevic P, Skegro M. Gunshot wound to the abdomen. Acta Chir. Croat. [Internet]. 2012Mar.15 [cited 2025Feb.19];9(1):39-1. Available from: https://acc.hkd.com.hr/index.php/ACC/article/view/79
Section
Case Reports

Most read articles by the same author(s)