Guiducci GM1*, Kawamukai K1, Salomone Di Saverio2, Anna M. Parisi1, Leuzzi G3, Sergio N. Forti Parri1 and Tugnoli G2
1Thoracic Surgery Unit, Maggiore and Bellaria Hospitals, Italy
2Emergency Surgery and Trauma Surgery Unit, Trauma Center, Maggiore Hospital, Italy
3Department of Surgical Oncology, Thoracic Surgery Unit, Regina Elena National Cancer Institute, Italy
A case of a 47-year-old male with a chest wall wound is reported. An accurate understanding of the events was unobtainable from the patient because he was born deaf-mute. The initial suspect of a limited superficial injury, suggested by the absence of major clinical consequences, was contradicted by a subsequent CT scan that revealed a retained metallic foreign body within the chest. The right lung was deeply injured but fortunately without major hemorrhage, although the shard was very close to the superior vena cava. Right thoracotomy was performed and the atypical “bullet” was removed without complications.
Trauma; Trauma penetrating; Hemothorax; Pleural space
Guiducci GM, Kawamukai K, Di Saverio S, Parisi AM, Leuzzi G, Sergio N. Atypical Shard "Bullet" Penetrating the Chest. Clin Surg. 2016; 1: 1134.