No abstract available.
Classification* ; Wounds and Injuries* ; Wounds, Gunshot*

Penetrating injuries to the upper cervical spine resulting from gunshots are rare in South Korea due to restrictions of gun use. Moreover, gunshot wounds to the upper cervical spine without neurological deficits occur infrequently because of the anatomic location and surrounding essential structures. We present an uncommon case involving the surgical removal of a bullet located in the anterior arch of first cervical vertebra (C1) via a transoral approach without neurological complications or subsequent mechanical instability.
Republic of Korea ; Spine ; Wounds, Gunshot

Renal injury inflicted by high-velocity missiles is serious because of the wide spread blast injury to tissue. Blast effect may lead to a secondary tissue necrosis with hemorrhage, fistula and infection. Recently we experienced one case of bilateral injury by gunshot complicated by renocolic fistula and intrarenal aneurysm. Management of delayed sequale of renal injury was presentedand discussed.
Aneurysm* ; Blast Injuries ; Fistula* ; Hemorrhage ; Necrosis ; Wounds, Gunshot*

Forensic Ballistics ; Humans ; Maxillofacial Injuries ; surgery ; Wounds, Gunshot ; surgery

A case of 23 years old boy having ureteral injury caused by accidental gunshot wound. He had successfully treated by side to side anastomosis of the ureter following removed the injuries side of the ureter under the splinting ureteral catheter and nephrostomy.
Humans ; Male ; Splints ; Ureter* ; Urinary Catheters ; Wounds, Gunshot* ; Young Adult

The Chinese investigators separated bullet wounds into three zones in the beginning of 1980s: a primary wound tract, a contusion zone adjacent to prinary wound tract, and a concussion zone neighboring the contusion zone. Basing on the research results by MRI scan and pathological observation, the author and his coworkers recently proposed that the gunshot wounds should be divided into four consecutive zones: a primary wound tract, a zone of coagulative necrosis, a zone of muscle disruption, and a zone of muscle distortion. A zone of coagulative necrosis plus a zone of muscle disruption equals to a contusion zone, they are separately named because the former is irreversibly devitalized and the latter still has the ability to recover. The sectionalized method shows the range of debridement and provide reference for the conservative treatment or thoroughly debridement. However, the mechanism of each zone need to be further studied.
Debridement ; Humans ; Necrosis ; Wounds, Gunshot ; pathology ; surgery ; therapy

HUMANS BODY REGIONS MALE CHILD ADULT WOUNDS ; GUNSHOT TISSUES

Humans ; Maxillofacial Injuries ; diagnosis ; surgery ; Wounds, Gunshot ; diagnosis ; surgery

Developing Countries ; Humans ; Spinal Cord Injuries ; Spine ; Wounds, Gunshot/surgery*

Injury to vertebral vessel is not usually associated with neurologic deficit and a lot of such injuries have not been recognized. Also, vertebral artery injuries are the least common arterial injuries because of their deep location in a bony canal. The incidence of vertebral artery injury occurring in penetration wound of the neck varies from 1.0% in gunshot wounds to 7.4% in stab wounds. But even vertebral artery injuries in penetration wound of the neck rarely results in cerebellar infarction. Authors experienced a case of cerebellar infarction induced by post-vertebral artery injury in penetration wound of the neck with hypoplastic contralateral verterbral artery. We thus report with a review of the related literature.
Arteries ; Cerebellum ; Incidence ; Infarction* ; Neck ; Neurologic Manifestations ; Vertebral Artery* ; Wounds and Injuries ; Wounds, Gunshot ; Wounds, Stab