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Hanapiah FM, Jamali AAM, Aziz ME, Mohktar MS, Ismail ZKA, Husin MH, Yusoff BM. Pure ballistic sonic pressure wave lung injury on computed tomography (CT) and plain radiograph. Radiol Case Rep 2023; 18:2673-2676. [PMID: 37287721 PMCID: PMC10241646 DOI: 10.1016/j.radcr.2023.04.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Revised: 04/28/2023] [Accepted: 04/30/2023] [Indexed: 06/09/2023] Open
Abstract
Sonic pressure wave should be taken into consideration in all ballistic injury. We review a young gentleman with ballistic injury of his lateral chest wall. The bullet trajectory passed through the lateral chest wall. Chest radiograph shows a wedge-shaped consolidation adjacent to the wound with blunted right costophrenic angle. Subsequent CT scan confirms the consolidation adjacent to the bullet trajectory. This case report emphasizes on value of CT in ballistic chest trauma and indirect injury caused by the sonic pressure wave of the bullet.
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Affiliation(s)
- Fadhila Mohd Hanapiah
- Radiology Department, Hospital Universiti Sains Malaysia, Jalan Raja Perempuan Zainab 2, 16150, Kota Bharu, Kelantan, Malaysia
- Radiology Department, Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan, Malaysia
| | - Ahmad Aizuddin Mohamad Jamali
- Radiology Department, Hospital Universiti Sains Malaysia, Jalan Raja Perempuan Zainab 2, 16150, Kota Bharu, Kelantan, Malaysia
- Radiology Department, Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan, Malaysia
| | - Mohd Ezane Aziz
- Radiology Department, Hospital Universiti Sains Malaysia, Jalan Raja Perempuan Zainab 2, 16150, Kota Bharu, Kelantan, Malaysia
- Radiology Department, Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan, Malaysia
| | | | - Zul Khairul Azwadi Ismail
- Radiology Department, Hospital Universiti Sains Malaysia, Jalan Raja Perempuan Zainab 2, 16150, Kota Bharu, Kelantan, Malaysia
- Radiology Department, Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan, Malaysia
| | - Mohd Hafizuddin Husin
- Radiology Department, Hospital Universiti Sains Malaysia, Jalan Raja Perempuan Zainab 2, 16150, Kota Bharu, Kelantan, Malaysia
- Radiology Department, Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan, Malaysia
| | - Bazli Md Yusoff
- Radiology Department, Hospital Universiti Sains Malaysia, Jalan Raja Perempuan Zainab 2, 16150, Kota Bharu, Kelantan, Malaysia
- Radiology Department, Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan, Malaysia
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Stassen NA. A Review of "Reevaluation of Diagnostic Procedures for Transmediastinal Gunshot Wounds" (2002). Am Surg 2021; 87:209-211. [PMID: 33380170 DOI: 10.1177/0003134820982872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Sarquis LM, Michaelis W, Santos AL, Yokoyama RA, Delazeri MV, Martins ALDC, Martins RK, Gazola BB. Endovascular treatment of penetrating thoracic aorta injury - case report. J Vasc Bras 2020; 19:e20200132. [PMID: 34211531 PMCID: PMC8217996 DOI: 10.1590/1677-5449.200132] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 09/04/2020] [Indexed: 11/24/2022] Open
Abstract
In the current scenario, traumas with violent causes are responsible for large numbers of cases. Among these, thoracic aorta injury caused by penetrating trauma is a cause of elevated morbidity and mortality, demanding adequate diagnosis, and can now often be repaired using endovascular procedures. This treatment method has proven to be safer, with a lower rate of complications than open surgical procedures. After endovascular repair, it is necessary to conduct continuous monitoring of the patient's health and correct any complications related to the procedure that may emerge. The objective of this article is to describe a case of penetrating trauma of the thoracic aorta that was treated endovascularly, since the literature predominantly covers blunt trauma injuries.
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Affiliation(s)
| | - Wilson Michaelis
- Hospital Universitário Evangélico Mackenzie, Curitiba, PR, Brasil.
| | | | - Rogerio Akira Yokoyama
- Hospital do Trabalhador, Curitiba, PR, Brasil.
- Hospital Universitário Evangélico Mackenzie, Curitiba, PR, Brasil.
| | - Mariana Vieira Delazeri
- Hospital do Trabalhador, Curitiba, PR, Brasil.
- Hospital Universitário Evangélico Mackenzie, Curitiba, PR, Brasil.
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