Qureshi Ahmad Uzair, Akhtar Salman, Gondal Khalid Masood
Department of General Surgery, Mayo Hospital, King Edward Medical University, Lahore.
J Coll Physicians Surg Pak. 2010 Jun;20(6):414-5.
A young boy presented in emergency with history of being hit by a stray bullet injuring the right hypochondrium. Ultrasound of abdomen showed hemoperitoneum and the radiograph showed bullet in the pelvis. Exploratory laparotomy showed injuries to liver and cystic duct with tract leading retroperitoneally into the inferior vena cava. The bullet was found wandering inside the vena caval lumen. Stray bullets are presumed to remain limited to the soft tissues. However, the trajectory, impact velocity and the involved region ultimately determine the outcome and influence management.
一名小男孩因被流弹击中右季肋部而急诊入院。腹部超声显示有腹腔积血，X线片显示子弹位于骨盆。剖腹探查发现肝脏和胆囊管受损，伤口通道经腹膜后通向腔静脉。发现子弹在腔静脉腔内游走。一般认为流弹只会局限于软组织。然而，子弹的轨迹、撞击速度和累及区域最终决定了结果并影响治疗。
