Murányi Mihály, Józsa Tamás, Benyó Mátyás, Salah Morshed, Flaskó Tibor
Department of Urology, University of Debrecen Medical School and Health Science Center, Debrecen, Hungary. vezermurmillo @ gmail.com
Urol Int. 2012;89(2):246-8. doi: 10.1159/000337693. Epub 2012 Jul 13.
Air guns are known as low-velocity arms and are considered harmless. However, injuries from air weapons can be serious and even fatal, particularly in children. We present a potentially life-threatening penetrating retroperitoneal injury of a 3-year-old boy caused by an air gun, and the successful removal of the bullet via a laparoscopic approach. The patient was brought to our center with a penetrating air gunshot wound on his right side in the waist area. He was accidentally shot by his brother at their home. The patient's clinical condition was stable. Computed tomography scan showed the bullet in the retroperitoneum near the inferior vena cava. A three-port laparoscopic transperitoneal approach was performed. The bullet was found just 0.5 cm caudal to the right renal hilum and 0.5 cm near the inferior vena cava; it was then removed. Operation time was 42 min and the postoperative course was uneventful. Thanks to improvements in laparoscopic surgical techniques, laparoscopy has become a feasible and effective treatment modality even for the removal of foreign bodies in children.
气枪被认为是低速武器，且被视作无害。然而，气枪造成的伤害可能很严重，甚至会致命，尤其是对儿童而言。我们报告了一名3岁男孩因气枪导致的具有潜在生命危险的穿透性腹膜后损伤，并通过腹腔镜手术成功取出子弹的病例。该患者因右侧腰部区域的穿透性气枪伤被送至我们中心。他在家中被其兄弟意外枪击。患者临床状况稳定。计算机断层扫描显示子弹位于腹膜后腔靠近下腔静脉处。采用三孔腹腔镜经腹入路进行手术。发现子弹位于右肾门尾侧0.5厘米处且靠近下腔静脉0.5厘米处，随后将其取出。手术时间为42分钟，术后过程顺利。由于腹腔镜手术技术的进步，腹腔镜检查已成为一种可行且有效的治疗方式，甚至对于取出儿童体内的异物也是如此。
