Bullet Vascular Injury at a Pediatric Age: A Two-Case Report from Saudi Arabia

被引:0
作者
Brekeit, Khalid Abdulrahman [1 ]
AlOmrani, Abdullah Nasser [2 ]
Alqwaiz, Abdulrahman Fahad [2 ]
Alsuwayeh, Abdullah Saleh [2 ]
机构
[1] Imam Mohammad Ibn Saud Islamic Univ, IMSIU, Coll Med, Dept Surg, Riyadh, Saudi Arabia
[2] Imam Mohammad Ibn Saud Islamic Univ IMSIU, Coll Med, Riyadh, Saudi Arabia
来源
INTERNATIONAL JOURNAL OF PHARMACEUTICAL RESEARCH AND ALLIED SCIENCES | 2022年 / 11卷 / 03期
关键词
Bullet; Pediatric; Vascular injury; Air-gun; Gunshot; Firearm; GUNSHOT WOUNDS; TRAUMA; NECK;
D O I
10.51847/AaFXB3H3wQ
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Gunshot injuries are a rare cause of vascular injury in the pediatric age group, mostly occurring accidentally. They are very serious injuries and could even be life- or limb-threatening, even with slow- velocity bullets. Here, we report two cases of vascular injury induced by different types of weapons. The first case was a four-year-old boy who presented with a left axillary artery injury caused by a gunshot bullet. The diagnosis was made by a computerized tomography angiogram (CTA). CTA showed a pseudo-aneurysm and complete disruption of the left axillary artery at the upper limb. The injury was treated immediately with exploration of the axillary artery, debridement of the injured area of the artery, and repair with an interposition saphenous graft. Postoperatively, the patient did well with good healing of the wound and regained normal upper limb pulses. The second case was a 10-year-old boy who was shot with an air rifle from a very short distance. This caused the bullet to directly penetrate the left side of his neck and injure the anterior surface of the left common carotid artery (CCA). Initially, the CTA missed the diagnosis, but the injury was diagnosed by duplex ultrasound on the third day of admission, which showed a pseudo-aneurysm at the anterior surface of the left CCA. The patient did not manifest any neurological signs or symptoms. He underwent surgical exploration of the CCA, and primary repair of the small hole located at the anterior wall. The patient recovered well with no neurological events.
引用
收藏
页码:49 / 54
页数:6
相关论文
共 50 条
[41]   Pediatric brain hydatid cyst about two cases: Case report [J].
Hmada, Saad ;
Mesbahi, Tarek ;
Jehri, Abdelhamid ;
Jouida, Abla ;
Naja, Abdessamad ;
Amenzoui, Naima ;
Lakhdar, Abdelhakim .
ANNALS OF MEDICINE AND SURGERY, 2022, 78
[42]   Morbidity Patterns of Non-Traffic Unintentional Injuries Among the Pediatric Age Group Attending the Emergency Department at King Abdul-Aziz Medical City, Riyadh, Saudi Arabia [J].
AlAteeq, Mohammed A. ;
Alsulayhim, Ahdullah K. ;
AlHargan, Fahad ;
AlSamaani, Ibrahim S. ;
Alyousef, Mohammed ;
AlDossari, Abdulrahman .
CUREUS JOURNAL OF MEDICAL SCIENCE, 2020, 12 (07)
[43]   Spreading Pellets in Hitting Bullet of Shotgun from Close Distance: A Case Report and Review of the Literature [J].
Ghadipasha, Masoud ;
Najari, Fares ;
Alimohammadi, Alimohammad ;
Khalilzadeh, Marzieh .
IRANIAN RED CRESCENT MEDICAL JOURNAL, 2018, 20 (04)
[44]   Extensive brain infarctions from bilateral vertebral artery injury because of cervical hyperextension injury: A case report [J].
Okuda, Hirozumi ;
Okuda, Akinori ;
Yamamoto, Koji ;
Konishi, Hironobu ;
Miyazaki, Keita ;
Tada, Yusuke ;
Takano, Keisuke ;
Asai, Hideki ;
Kawai, Yasuyuki ;
Shigematsu, Hideki ;
Maegawa, Naoki ;
Kawamura, Kenji ;
Urisono, Yasuyuki ;
Tanaka, Yasuhito ;
Fukushima, Hidetada .
INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT, 2021, 25
[45]   Rare Cystic Hygroma of the Axilla and Breast in Adults, Case Report, Long-Term Follow-Up and Literature Review: An Experience from Saudi Arabia [J].
Al-Ameer, Ahmed Y. ;
Alahmar, Soha M. ;
Shawafgfeh, Nidal N. ;
Miskeen, Elhadi .
INTERNATIONAL MEDICAL CASE REPORTS JOURNAL, 2023, 16 :1-6
[46]   Streptococcus mitis as a New Emerging Pathogen in Pediatric Age: Case Report and Systematic Review [J].
Colomba, Claudia ;
Garbo, Valeria ;
Boncori, Giovanni ;
Albano, Chiara ;
Bagarello, Sara ;
Condemi, Anna ;
Giordano, Salvatore ;
Canduscio, Laura A. ;
Gallo, Cristina ;
Parrinello, Gaspare ;
Cascio, Antonio .
ANTIBIOTICS-BASEL, 2023, 12 (07)
[47]   Vascular injury as a complication of knee arthroscopic surgery. Report of two cases and review of the literature [J].
Elizabeth Enriquez-Vega, Maria ;
Ernesto Cruz-Castillo, Juan ;
Pacheco-Pittaluga, Ernesto ;
Solorio-Rosette, Hugo ;
Linarte-Marquez, Lizbeth ;
Iturburu-Enriquez, Alessandra .
CIRUGIA Y CIRUJANOS, 2013, 81 (05) :454-458
[48]   Recovery from azoospermia caused by a testicular injury: a case report [J].
Hagiuda, J. ;
Ishikawa, H. ;
Hanawa, Y. ;
Marumo, K. .
ANDROLOGIA, 2014, 46 (04) :447-448
[49]   Management of extensive lower limb injuries with associated vascular injury - a case report and review of literature [J].
Lukasiewicz, Aleksander ;
Molski, Stanislaw .
ACTA ANGIOLOGICA, 2011, 17 (03) :219-230
[50]   VASCULAR INJURY FOLLOWING FOREIGN-BODY PERFORATION OF THE ESOPHAGUS - REVIEW OF THE LITERATURE AND REPORT OF A CASE [J].
SCHER, RL ;
TEGTMEYER, CJ ;
MCLEAN, WC .
ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 1990, 99 (09) :698-702