Page 22 - Delaware Medical Journal - March 2017
P. 22

FIGURE 1
Abdominal flat plate showing projectile in mid-abdomen as well as bullet fragments and iliac deformity from historical injury.
Previous Laparotomy Scar Preventing Abdominal Injury from Gunshot Wound  David Yearsley, MD; Maxwell Braverman, DO; Frederick Giberson, MD
Diagnostic laparoscopy has been used in select patients with penetrating abdominal trauma. Here we present a case report where a midline surgical scar from a previous trauma laparotomy potentially prevented intra-abdominal injury. Furthermore, laparoscopy was used to exclude other intra-abdominal injuries and retrieve the projectile from within a hematoma cavity. This avoided the morbidity of a trauma laparotomy.
86 Del Med J |
March 2017 | Vol. 89 | No. 3
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