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Adrenal gunshot wound: Laparoscopic approach. Report of a case()

INTRODUCTION: Although there is no debate that patients with peritonitis or hemodynamic instability should undergo urgent laparotomy after penetrating abdominal injury, it is also clear that certain stable patients may be managed without operation. Controversy persists regarding use of laparoscopy....

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Autores principales: Agrusa, Antonino, Romano, Giorgio, De Vita, Giovanni, Frazzetta, Giuseppe, Chianetta, Daniela, Di Buono, Giuseppe, Gulotta, Gaspare
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3921651/
https://www.ncbi.nlm.nih.gov/pubmed/24441440
http://dx.doi.org/10.1016/j.ijscr.2013.12.020
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author Agrusa, Antonino
Romano, Giorgio
De Vita, Giovanni
Frazzetta, Giuseppe
Chianetta, Daniela
Di Buono, Giuseppe
Gulotta, Gaspare
author_facet Agrusa, Antonino
Romano, Giorgio
De Vita, Giovanni
Frazzetta, Giuseppe
Chianetta, Daniela
Di Buono, Giuseppe
Gulotta, Gaspare
author_sort Agrusa, Antonino
collection PubMed
description INTRODUCTION: Although there is no debate that patients with peritonitis or hemodynamic instability should undergo urgent laparotomy after penetrating abdominal injury, it is also clear that certain stable patients may be managed without operation. Controversy persists regarding use of laparoscopy. PRESENTATION OF CASE: We report a case of gunshot wounds with bullet in left adrenal gland and perirenal subcapsular hematoma. The patients had no signs of peritonitis but in the observation period we noted a significative blood loss, so we performed an exploratory laparoscopy. DISCUSSION: We found the bullet in adrenal parenchyma. The postoperative period was regular and the patient was discharged without any local or general complication. CONCLUSION: Although the data are still controversial, the importance of the laparoscopic approach is rapidly increasing also in case of penetrating trauma of the abdomen. This technique assumes both a diagnostic and therapeutic role by reducing the number of negative laparotomies.
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spelling pubmed-39216512014-02-12 Adrenal gunshot wound: Laparoscopic approach. Report of a case() Agrusa, Antonino Romano, Giorgio De Vita, Giovanni Frazzetta, Giuseppe Chianetta, Daniela Di Buono, Giuseppe Gulotta, Gaspare Int J Surg Case Rep Article INTRODUCTION: Although there is no debate that patients with peritonitis or hemodynamic instability should undergo urgent laparotomy after penetrating abdominal injury, it is also clear that certain stable patients may be managed without operation. Controversy persists regarding use of laparoscopy. PRESENTATION OF CASE: We report a case of gunshot wounds with bullet in left adrenal gland and perirenal subcapsular hematoma. The patients had no signs of peritonitis but in the observation period we noted a significative blood loss, so we performed an exploratory laparoscopy. DISCUSSION: We found the bullet in adrenal parenchyma. The postoperative period was regular and the patient was discharged without any local or general complication. CONCLUSION: Although the data are still controversial, the importance of the laparoscopic approach is rapidly increasing also in case of penetrating trauma of the abdomen. This technique assumes both a diagnostic and therapeutic role by reducing the number of negative laparotomies. Elsevier 2013-12-24 /pmc/articles/PMC3921651/ /pubmed/24441440 http://dx.doi.org/10.1016/j.ijscr.2013.12.020 Text en © 2013 The Authors http://creativecommons.org/licenses/by-nc-sa/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike License, which permits non-commercial use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Article
Agrusa, Antonino
Romano, Giorgio
De Vita, Giovanni
Frazzetta, Giuseppe
Chianetta, Daniela
Di Buono, Giuseppe
Gulotta, Gaspare
Adrenal gunshot wound: Laparoscopic approach. Report of a case()
title Adrenal gunshot wound: Laparoscopic approach. Report of a case()
title_full Adrenal gunshot wound: Laparoscopic approach. Report of a case()
title_fullStr Adrenal gunshot wound: Laparoscopic approach. Report of a case()
title_full_unstemmed Adrenal gunshot wound: Laparoscopic approach. Report of a case()
title_short Adrenal gunshot wound: Laparoscopic approach. Report of a case()
title_sort adrenal gunshot wound: laparoscopic approach. report of a case()
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3921651/
https://www.ncbi.nlm.nih.gov/pubmed/24441440
http://dx.doi.org/10.1016/j.ijscr.2013.12.020
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