Ulus Travma Acil Cerrahi Derg. 2009; 15(3): 295-297

Mide ve safrakesesi perforasyonuna neden olan, kestane fiþeðine baðlý þarapnel yaralanmasý

Dipesh D Duttaroy, Jitendra Jagtap, Ujjwal Bansal
Devlet Týp Fakültesi, Baroda & Sir Sayajirao Hastanesi, Gujarat, Hindistan.

On dört yaþýnda erkek çocuk kestane fiþeðini ateþlemeye çalýþýrken geçirdiði karýna delici yaralanma nedeniyle baþvurdu. Hastanýn konserve kutusu içinde patlattýðý kestane fiþeði nedeniyle metal bir parça karnýný delmiþti. Þok tablosundaki hastada, karnýn ultrasonografisi (USG) ve radyografisi çekildi. Karýn radyografisi serbest gazý ve radyoopak bir nesneyi gösterirken, USG karýn içindeki serbest sývýyý tespit etti. Eksplorasyonda, sýrasýyla primer onarým ve kolesistektominin yapýldýðý, mide ve safrakesesi delinmeleri saptandý. Henüz, kestane fiþeði patlamasýný takibeden viseral yaralanma bildirilmemiþtir. Biz potansiyel olarak ciddi, hayatý tehdit edici viseral yaralanmalara neden olabilecek, kestane fiþeðinin sorumsuz þekilde kullanýmýný önlemek için, ebeveyn gözetiminin önemini vurgulamak isteriz.

Anahtar Kelimeler: Kolesistektomi, kestane fiþeði; gastrik perforasyon; safrakesesi perforasyonu.

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Shrapnel injury due to a firecracker causing gastric and gallbladder perforation

Dipesh D Duttaroy, Jitendra Jagtap, Ujjwal Bansal
Government Medical College Baroda & Sir Sayajirao General Hospital, Baroda 390001, Gujarat, India

A 14-year-old boy presented with a penetrating injury to the abdomen after trying to light a firecracker. A piece of metal from the tin box in which he had ignited the firecracker had penetrated his abdomen. The patient, who was in a state of shock, underwent ultrasonography (USG) and radiography of the abdomen. USG revealed free fluid in the abdomen, while abdominal radiographs demonstrated free gas and a radiopaque object. Exploration revealed gastric and gallbladder perforations for which repair and cholecystectomy were done, respectively. Visceral injury following a firecracker explosion has not been reported previously. We would like to stress the importance of parental supervision to prevent irresponsible use of firecrackers, which can cause potentially life-threatening visceral injuries.

Keywords: Cholecystectomy, firecracker; gastric perforation; gallbladder perforation.

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