Firearms wound with heart and left lung lesions. Case report

Authors

Keywords:

gunshot wounds, penetrating wounds, suicide attempt

Abstract

Introduction: chest injuries were described for the first time around 1600 BC in the Edwin Smith Papyrus. The most frequent causes are traffic accidents and the use of firearms; less than 15% of those affected require definitive surgical treatment.

Objective: to present the case of a person injured by self-harm with a firearm, with danger to life.

Case presentation: white male patient, 25 years old, with a health history. He went to the Morón hospital emergency service after making a suicide attempt with a firearm, which caused a precordial injury. He arrived in a state of shock; chest x-rays showed the projectile and a concomitant left hemothorax. It was decided to perform an emergency anterolateral thoracotomy. Two holes were found; one in the left ventricle and one in the basal segments of the lower lobe of the left lung.After repairing the injuries and putting drainage in the thoracic cavity, the patient was transferred to intensive care, his condition evolved favorably, and he was discharged on the ninth day.

Conclusions: the prognosis of cardiac injuries due to accidents with firearms and knives is serious. Whether it is not, depends on the combination of immediate transport, the resuscitation measures adopted in emergencies, and the severity of the anatomical damage to the organ found in the perioperative period. The work provided evidence on the importance of timely diagnosis and treatment as guarantees for a prognosis of survival with minimal complications

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Author Biographies

Armando Rivero León, Hospital General Docente “Cptan Roberto Rodríguez Fernández”, Morón. Ciego de Ávila, Cuba.

Máster en Urgencias Médicas. Especialista de Primer y Segundo Grados en Cirugía General. Profesor Auxiliar. Investigador Agregado.

Margis Nuñez Calatayud, Hospital General Docente “Cptan Roberto Rodríguez Fernández”, Morón. Ciego de Ávila, Cuba.

Máster en Urgencias Médicas. Especialista de Primer y Segundo Grados en Anatomía Patológica. Profesor Auxiliar. Investigador Agregado.

José Antonio Hernández Liven, Hospital General Docente “Cptan Roberto Rodríguez Fernández”, Morón. Ciego de Ávila, Cuba.

Máster en Urgencias Médicas, Especialista de Primer Grado en Cirugía General y Medicina General Integral. Profesor Instructor.

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Published

2022-01-04

How to Cite

1.
Rivero León A, Nuñez Calatayud M, Hernández Liven JA. Firearms wound with heart and left lung lesions. Case report. Mediciego [Internet]. 2022 Jan. 4 [cited 2025 Dec. 14];28(1):e1570. Available from: https://revmediciego.sld.cu/index.php/mediciego/article/view/1570

Issue

Vol. 28 (2022)

Section

Case Report

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Copyright (c) 2022 Armando Rivero León

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