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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....
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2013
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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. |
format | Online Article Text |
id | pubmed-3921651 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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