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A retained intrahepatic bullet in the Bermuda triangle: A case report of surgical extraction

INTRODUCTION AND IMPORTANCE: The management of retained gunshot injury in the liver is not properly discussed in the literature. CASE PRESENTATION: We describe a rare case of intrahepatic retained foreign body (bullet). Our patient is a 39-year old Yemeni soldier, who was exposed to firearm injury 1...

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Autores principales: Abdel Wahab, Mohamed, Hamed Hamed Asar, Hosam, Abdel Wahab, Rihame M., Marzouk, Khalid, Kassem, Amr
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7994730/
https://www.ncbi.nlm.nih.gov/pubmed/33770635
http://dx.doi.org/10.1016/j.ijscr.2021.105700
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author Abdel Wahab, Mohamed
Hamed Hamed Asar, Hosam
Abdel Wahab, Rihame M.
Marzouk, Khalid
Kassem, Amr
author_facet Abdel Wahab, Mohamed
Hamed Hamed Asar, Hosam
Abdel Wahab, Rihame M.
Marzouk, Khalid
Kassem, Amr
author_sort Abdel Wahab, Mohamed
collection PubMed
description INTRODUCTION AND IMPORTANCE: The management of retained gunshot injury in the liver is not properly discussed in the literature. CASE PRESENTATION: We describe a rare case of intrahepatic retained foreign body (bullet). Our patient is a 39-year old Yemeni soldier, who was exposed to firearm injury 10 months previously. The patient sought medical advice to extract the foreign body, and it was successfully extracted through abdominal exploration, with no intraoperative or postoperative complications. DISCUSSION: Retained liver foreign bodies have three types, penetrating, medical, and migrating. Before the removal of the foreign body, good patient evaluation along with good surgical expertise should be present. CONCLUSION: There is a need for general guidelines to manage such patients who should be assessed by high volume surgeons.
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spelling pubmed-79947302021-03-29 A retained intrahepatic bullet in the Bermuda triangle: A case report of surgical extraction Abdel Wahab, Mohamed Hamed Hamed Asar, Hosam Abdel Wahab, Rihame M. Marzouk, Khalid Kassem, Amr Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: The management of retained gunshot injury in the liver is not properly discussed in the literature. CASE PRESENTATION: We describe a rare case of intrahepatic retained foreign body (bullet). Our patient is a 39-year old Yemeni soldier, who was exposed to firearm injury 10 months previously. The patient sought medical advice to extract the foreign body, and it was successfully extracted through abdominal exploration, with no intraoperative or postoperative complications. DISCUSSION: Retained liver foreign bodies have three types, penetrating, medical, and migrating. Before the removal of the foreign body, good patient evaluation along with good surgical expertise should be present. CONCLUSION: There is a need for general guidelines to manage such patients who should be assessed by high volume surgeons. Elsevier 2021-02-24 /pmc/articles/PMC7994730/ /pubmed/33770635 http://dx.doi.org/10.1016/j.ijscr.2021.105700 Text en © 2021 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Abdel Wahab, Mohamed
Hamed Hamed Asar, Hosam
Abdel Wahab, Rihame M.
Marzouk, Khalid
Kassem, Amr
A retained intrahepatic bullet in the Bermuda triangle: A case report of surgical extraction
title A retained intrahepatic bullet in the Bermuda triangle: A case report of surgical extraction
title_full A retained intrahepatic bullet in the Bermuda triangle: A case report of surgical extraction
title_fullStr A retained intrahepatic bullet in the Bermuda triangle: A case report of surgical extraction
title_full_unstemmed A retained intrahepatic bullet in the Bermuda triangle: A case report of surgical extraction
title_short A retained intrahepatic bullet in the Bermuda triangle: A case report of surgical extraction
title_sort retained intrahepatic bullet in the bermuda triangle: a case report of surgical extraction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7994730/
https://www.ncbi.nlm.nih.gov/pubmed/33770635
http://dx.doi.org/10.1016/j.ijscr.2021.105700
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