Open AccessA lucky cardiac shotgun?
Author(s) -
David FilgueirasRama,
Mar Moreno-Yangüela,
José Ruiz-Cantador,
Roberto Martín-Reyes,
Miguel A. Navas-Lobato,
José LópezSendón
Publication year - 2009
Publication title -
european heart journal - cardiovascular imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.576
H-Index - 92
eISSN - 2047-2412
pISSN - 2047-2404
DOI - 10.1093/ejechocard/jen327
Subject(s) - thorax (insect anatomy) , medicine , interventricular septum , pericardial effusion , pneumothorax , shotgun , computed tomography , thoracic wall , sternum , anatomy , surgery , radiology , cardiology , gene , biochemistry , chemistry , ventricle
A 34-year-old woman was admitted to our institution after attempted murder with a pellet shotgun. At arrival, the patient was haemodynamically unstable with many wounds in the anterior region of thorax, legs, and arms due to pellets. Computed tomography detected numerous foreign bodies in subcutaneous cellular tissue, thorax wall, prosthetic breast, lungs, liver, right arm, and proximal left thigh; one of them was sited in the interventricular septum with minimal pericardial effusion ( Figure 1 ).Figure 1 Computed tomography (CT) with multiple pellets in thorax and right arm. One of them is located in the interventricular septum (black arrow).The patient suffered from multiple acute complications after admission; right haemothorax and pneumothorax treated with drainage, liver laceration, bone …
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