Innocuous cardiac gunshot that proved fatal: A bitter lesson learned.
10.1016/j.cjtee.2016.05.006
- Author:
Biplab MISHRA
1
;
Mohit Kumar JOSHI
2
;
Subodh KUMAR
1
;
Atin KUMAR
3
;
Amit GUPTA
1
;
Amulya RATTAN
1
;
Sushma SAGAR
1
;
Maneesh SINGHAL
1
;
Mahesh Chandra MISRA
1
Author Information
1. Department of Surgical Disciplines, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi 110029, India.
2. Department of Surgical Disciplines, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi 110029, India. Electronic address: drmohitjoshi@gmail.com.
3. Department of Radiodiagnosis, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi 110029, India.
- Publication Type:Case Reports
- Keywords:
Firearms;
Gunshot;
Heart;
Pericardium;
Wounds
- MeSH:
Adult;
Fatal Outcome;
Foreign Bodies;
therapy;
Heart Injuries;
therapy;
Humans;
Male;
Wounds, Gunshot;
therapy
- From:
Chinese Journal of Traumatology
2017;20(2):122-124
- CountryChina
- Language:English
-
Abstract:
The management of hemodynamically normal patients with retained intra-pericardial foreign body remains a matter of conjecture. The available literature supports non-operative management of such innocuous foreign bodies. We report our experience of a hemodynamically normal patient with a retained intra-pericardial pellet from a firearm injury. He initially received successful non-operative management but developed fatal hemopericardium 21 days after injury. In this paper, we discussed the pitfalls in the management of such injuries in light of the available literature and summarized the clinical experience.
