Nonoperative Management of Multiple Penetrating Cardiac and Colon Wounds from a Shotgun: A Case Report and Literature Review [documento electrónico] / Paula María Jaramillo Gómez, ; David Alejandro Mejía Toro, ; Salín Pereira Warr,  . - 2018.
Obra : Case Reports in Surgery

Idioma : Inglés (eng)

Resumen :	Introduction: Surgery for cardiac trauma is considered fatal and for wounds of the colon by associated sepsis is normally considered; however, conservative management of many traumatic lesions of different injured organs has progressed over the years. Presentation of the Case: A 65-year-old male patient presented with multiple shotgun wounds on the left upper limb, thorax, and abdomen. On evaluation, he was hemodynamically stable with normal sinus rhythm and normal blood pressure, no dyspnea, or abdominal pain. Computed tomography (CT) scan of the chest shows hematoma around the aorta without injury to the blood vessel wall with an intramyocardial projectile without pericardial effusion. CT scan of the abdomen showed pellets in the transverse colon and descending colon endoluminal without extravasation of contrast medium or intra-abdominal fluid. The patient remains hemodynamically stable, and nonsurgical procedure was established. Discussion. Patients with asymptomatic intramyocardial projectiles can be safely managed without surgery. Nonsurgical management is only possible in asymptomatic patients with trauma of the colon through close surveillance and with very selective patients since standard management is surgery. Conclusion: Nonsurgical management of cardiac trauma, as well as colon penetrating trauma, can be performed in carefully selected patients with proper clinical follow-up, imaging, and laboratory studies.
Mención de responsabilidad :	Paula M Jaramillo, Jaime A Montoya, David A Mejia, Salin Pereira Warr
Referencia :	Case Rep Surg. 2018 Jan 24;2018:7839465.
DOI (Digital Object Identifier) :	10.1155/2018/7839465
PMID :	29670801
Derechos de uso :	CC BY
En línea :	https://www.hindawi.com/journals/cris/2018/7839465/
Enlace permanente :	https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4164