PMC6556752_01
(A): Bullet entrance wound, in the lower left abdomen. (B): Emergency cesarean section. (C): Penetrating entry wound in the infant's right thoracoabdominal region.
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The women's abdomen was diffusely tender and rigid, and a single bullet entrance wound, without an exit wound in the lower left abdomen was seen (Fig. 1A). An extensive peritoneal lavage was completed and an emergency cesarean section was performed (Fig. 1B). During reanimation, the infant presented with severe respiratory distress and a penetrating entry wound in the infant's right thoracoabdominal region without an exit wound was seen (Fig. 1C).
A: Lung laceration to the infant's right lung. (B): Bowel lesion found in the infant's abdomen (C): Bullet found near the root of the infant's mesentery between the intestinal loops.
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A 5 x 5 mm laceration to the inferior lobe of the right lung and a 1 x 0.5 cm right diaphragmatic injury were discovered (Fig. 2A). Treitz that encompassed 30% of the intestinal circumference. (Fig. 2B). The rest of the abdomen appeared normal, and the 2 x 1 cm bullet was found near the root of the mesentery between the intestinal loops (Fig. 2C).
Thoracic drainage and surgical wound in the infant.
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After that, a thorough lavage of the baby's peritoneal cavity was performed, followed by debridement of the injured bowel and a primary closure in a single layer fashion with an absorbable suture (Vicryl, Ethicon, Johnson & Johnson, Seoul, Korea) (Fig. 3).