Ateþli silah yaralanmasýnda atipik seyir

Ateþli silah yaralanmalarý yaygýn bir medikal-legal sorun teþkil eden konulardan biridir. Bu tür yaralanmalarýn oluþturduðu atipik trakt hatlarý taný ve tedavide zorluklar çýkarabilmektedir. Bu yazýda. sað uyluk ön bölgesinden meydana gelen ateþli silah yaralanmasýnýn sað hemitoraksa uzanan atipik seyrini sunduk. Ateþli silah yaralanmasý nedeniyle 67 yaþýndaki Suriyeli mülteci erkek hasta acil servise getirildi. Sað uyluk ön medial bölgesinde mermi giriþ deliði tespit edildi, ancak çýkýþ deliði yoktu. Toraks tomografisinde mermi sað hemitoraksda tespit edildi, hasta diyafragma rüptürü ve akciðer parankim hasarý nedeniyle operasyona alýndý. Ateþli silah yaralanmalarýnda mermi çekirdeðinin saptanamamasý durumunda diðer vücut kýsýmlarýnýn radyolojik görüntülemesi mutlak yapýlmalýdýr.

Atypical Trajectory of Gunshot Injury

Gunshot injuries are common medical-legal issues. Atypical tract lines which are resulted from this type of injuries cause difficulties in diagnosis and treatment. In this paper, we presented gunshot injury at right anterior thigh extending to the right hemithorax. Syrian refugee patient who was 67 years old was brought to emergency service because of gunshot injury. Bullet entrance hole was determined at right anterior thigh region, but exit side could not be seen. Bullet was determined at right thorax at tomography, and patient was taken to operation because of diaphragma rupture and lung paranchymal injury. Other body parts must be examined radiologically for bullet which can not be determined at gunshot injury side.