A Double Penetration Wound of the Thoracic Wall in an Afghan Military Policeman
Authors:
P. Lochman 1,2; M. Frank 2; A. Kopřiva 3; J. Závada 4; J. Kuca 5
Authors‘ workplace:
Katedra válečné chirurgie, Fakulta vojenského zdravotnictví Univerzity obrany, Hradec Králové
vedoucí katedry: doc. MUDr. L. Klein, CSc.
1; Chirurgická klinika, Fakultní nemocnice Hradec Králové, přednosta kliniky: doc. MUDr. A. Ferko, CSc.
2; Chirurgické oddělení, Vojenská nemocnice Brno, primář oddělení: mjr. MUDr. M. Stračár
3; Anesteziologicko-resuscitační oddělení, Vojenská nemocnice Olomouc, primář oddělení:
pplk. MUDr. P. Pokorný
4; Radiodiagnostické oddělení, Letecká vojenská nemocnica Košice, Slovenská republika, primář oddělení:
MUDr. P. Kešelák
5
Published in:
Rozhl. Chir., 2009, roč. 88, č. 2, s. 62-64.
Category:
Monothematic special - Original
Overview
Authors present a case report of the young man, Afghan military policeman, who was with gunshot injury referred to treatment to the Czech field hospital stationed in Kabul international airport at the time of the 4th contingent of the field hospital and chemical unit in international operation ISAF Afghanistan. The patient suffered from a double gunshot of the chest wall that caused open compound fracture of the left collar bone, fracture of the sternal bone and the right scapula and hemorhagic contusion of the left apical lung although it was not a penetrating injury of the chest. Left side posterolateral thoracotomy was performed and non-anatomical resection of the apical lung and further drainage of the pleural cavity were done. Revision of both the gunshot canals with debridements was further performed, of course. Postoperative course was without any complications and patient was sent to local Afghan hospital on the sixth postoperative day.
Key words:
gunshot injury – chest wall – non-penetrating injury – pulmonary resection
Sources
1. Ferko, A., Vobořil, Z., Šmejkal, K., Bedrna, J. Chirurgie v kostce: vybrané kapitoly. Praha, Grada, 2002, 591 s.
2. Kolektiv autorů. Neodkladná péče v poli. Příručka pro kurz BATLS. Hradec Králové, VLA JEP, 2000, 144 s.
3. Klein, L., Ferko, A., et al. Principy válečné chirurgie. Praha, Grada, 2005, 140 s.
4. Mattox, K. L. Thoracic injury requiring surgery. World J. Surg., 1983; 7(1):49–55.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2009 Issue 2
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