Shotgun wound to the chest

Case contributed by MD PhD gasssss

Presentation

Penetrating trauma to the chest two years ago. After the elimination of hemothorax and pneumothorax it was decided not to remove foreign body. Now presents with a one month history of hemoptysis.

Patient Data

Age: 25
Gender: Male
X-ray

A metallic foreign body, spherical in shape, lies near the left pulmonary hilum. No surrounding pulmonary contusion or pneumothorax. 

CT

A metallic foreign body, spherical in shape, lies near the left pulmonary hilum. No surrounding pulmonary contusion or pneumothorax. 

Photo

During surgery the erosion of the foreign body (bullet) into the left lower lobe superior segment was diagnosed.  The gun shot pellet was identified and removed. 

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Case information

rID: 22757
Published: 21st Apr 2013
Last edited: 26th Oct 2020
Tag: trauma
Inclusion in quiz mode: Included

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