TWO CASES OF ABDOMINAL GUNSHOT WOUND

Abstract

Patient 1, a 45-year-old man was transferred to the hospital for left abdominal gunshot wound. Blood pressure was 60mmHg, a gunshot wound found in the left lateral region of abdomen. The bullet was palpated in the right lateral region. Upon laparotomy, the sigmoid mesocolon and jejunum ligament were damaged and the jejunum and an ascending colon were perforated.
A partial jejunectomy and an ileocecal excision were performed.
He was discharged from the hospital on the 28th hospital day.
Patient 2, a 41-year-old man was admitted to the hospital because of several abdominal gunshot wounds. Transfix wounds were found in the right armpit, lumbar part to left abdomen, and left thigh. Blindness wounds were found in the right abdomen and left crus.
A partial jejunectomy and an ileocecal excision were performed under laparotomy. We removed the bullets in the abdominal wall and left crus. He was discharged from the hospital on the 45th hospital day. The gunshot wound seems to increase in the near future, though it is still rare in Japan. We think that quick decision-making of operation is required patients who are suspected to have intraabdominal injuries due to abdominal gunshot wounds.