Presentation
Patient presenting to emergency radiology with a gunshot wound to the left thigh.
Patient Data
Extensive fragmentation and spiking of the left distal shaft diaphyseal femoral bony region. Shoot through lateral x rays of the left femur at the affected region reveals a smooth spherical shaped foreign body (bullet in situ) pointed cranially within the medial thigh soft tissues.
Case Discussion
Post-operative findings include unstable comminuted fracture with contamination, removal of foreign body, and present femoral pulses. These are in keeping with the radiological diagnosis of a high-velocity gunshot wound resulting in severe left femoral shaft fracture with comminution and an in situ foreign body (bullet).