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Computed tomography of the lower abdomen showing an air gun pellet in the left iliac region.
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The bone structures were not affected and free liquid in the peritoneal space was not present (Fig. 1). According to her report, the physical examination of her abdomen, and the computerized tomography (Fig. 1), it was thought that the her pain might have been caused by an accidental air gun pellet.
The air gun pellet ceased in the anterior wall of the sigmoid colon.
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The exploration of the abdominal cavity showed that the pellet had penetrated the abdominal wall, created a small hole (1.5 cm in size) in the parietal peritoneum of the hypo gastric region, caused a small rupture in the left ovary as well, and finally ceased in the anterior wall of the sigmoid colon (Fig. 2).
The sigmoid colon perforation after the air gun pellet extraction.
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The local surgical treatment consisted of the removal of the pellet, an excision of the perforation, a primary closure with PDS 3.0 and peritoneal lavage with saline (Fig. 3).
The extracted air gun pellet.
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The extracted pellet confirmed the etiology of the injury (Fig. 4).