Total section of the lower humeral artery and median nerve in a girl during a suicide attempt: A case report

Ballistic trauma is as much a pathology in wartime as it is in peacetime [1]. The pathophysiology of ballistic trauma is based on the behavior of the projectile in the body. High-velocity firearm wounds are the preserve of the military. Low-velocity firearm wounds are more often encountered in civilian settings. If hemorrhage is the first cause of early death, infection is the second from the twenty-fourth hour. The management of a patient with ballistic trauma is an infrequent reason for referral in emergency medicine and more particularly in extra hospital settings [1]. Secondary complications, particularly septic, and the severity of associated lesions such as bleeding processes require evaluation and prioritization involving teams from mobile emergency and resuscitation structures. The aim of this work is to report a case of total section of the lower humeral artery and the median nerve with loss of substance in a young girl during a suicide attempt.Keywords: Ballistic trauma; Total section; Humeral artery; Median nerve; Surgery