Yıl: 2009 Cilt: 15 Sayı: 2 Sayfa Aralığı: 191 - 193 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Penetrating abdominal wound caused by a close-distance blank cartridge pistol shot: A case report

Öz:
Kişilerin kendini savunma gerekliliği için üretilen ve zararsız olduğu düşünülen kurusıkı tabancalar ilgili yasal kuralların bulunmaması nedeniyle erişkinler tarafından kolayca satın alınabilmektedir. Kurusıkı tabancaların neden olduğu yaralanmalar ölümcül olduğu ve nadiren acil servise geldiği için bu olguyu sunuyoruz. Kurusıkı tabanca atışı ile karnından yaralanan 15 yaşındaki bir erkek çocuğu acil servise getirildi. Fiziksel incelemede, sol kot kavsinin hemen 2 cm altında ön koltuk altı çizgisi üzerinde 1 cm çapında giriş yarası ve bu yaranın çevresinde 4 cm çapında halka şeklinde abrazyon ve kontüzyon alanı olduğu görüldü. Karnın tüm kadranlarında defans muskuler ve ribaund hassasiyeti vardı. Hastaya eksploratif laparotomi yapıldı. Ameliyatta, proksimal jejunumda antimezenterik kenarda yaklaşık 1 cm çapında perforasyon ve sol tarafta büyük omentumda hematom saptandı. Perfore jejunum ansına kama rezeksiyon ve uç uca anastomoz ve parsiyel sol omentektomi yapıldı. Bu tip silahların tehlike ve zararlarına ilişkin kitle eğitimi ve kullanımının kısıtlanmasına ilişkin yasal kuralların gerekli olduğu görünmektedir. Doktorların kurusıkı tabancaların ölümcül yaralanmalara neden olabildiğini unutmamaları gerekir.
Anahtar Kelime: Ergen Yaralanma şiddeti skoru Tedavi sonucu Ateşli silahlar Erkek Yaralar, delici Batın yaralanmaları Yaralar, ateşli silah

Konular: Cerrahi

Yakın mesafeden kurusıkı tabanca atışına bağlı karına nafiz yaralanma: Olgu sunumu

Öz:
Blank cartridge pistols, which are produced for self-defense needs and considered harmless, can be easily purchased by adults due to lack of legal regulations. We present this case because injuries caused by blank cartridge pistol shots may be fatal and are rarely encountered in emergency departments. A 15-year-old boy was brought to the emergency department with a wound on his abdomen caused by a blank cartridge pistol shot. Physical examination revealed an entrance wound, 1 cm in diameter, with a ring-shaped abrasion, 4 cm in diameter, and a surrounding area of contusion, just 2 cm caudal to the left arcus costarum on the anterior axillary line. Muscular defense and rebound tenderness were present in all quadrants of the abdomen. The patient underwent an exploratory laparotomy. At the time of surgery, a proximal jejunal perforation on the antimesenteric side, approximately 1 cm in diameter, and left-sided hematoma of the greater omentum were identified. A wedge resection of the perforated jejunal loop with end-to-end anastomosis and partial left-sided omentectomy were performed. A mass education on the dangers of these guns and the harm they can cause as well as legal regulations for their restricted use seem to be necessary. Physicians should keep in mind that blank cartridge guns can cause fatal injuries.
Anahtar Kelime: Firearms Male Wounds, Penetrating Abdominal Injuries Wounds, Gunshot Adolescent Injury Severity Score Treatment Outcome

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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APA TEKE Z, ÖZGÜR A, TEKİN K (2009). Penetrating abdominal wound caused by a close-distance blank cartridge pistol shot: A case report. , 191 - 193.
Chicago TEKE ZAFER,ÖZGÜR Ali,TEKİN Koray Penetrating abdominal wound caused by a close-distance blank cartridge pistol shot: A case report. (2009): 191 - 193.
MLA TEKE ZAFER,ÖZGÜR Ali,TEKİN Koray Penetrating abdominal wound caused by a close-distance blank cartridge pistol shot: A case report. , 2009, ss.191 - 193.
AMA TEKE Z,ÖZGÜR A,TEKİN K Penetrating abdominal wound caused by a close-distance blank cartridge pistol shot: A case report. . 2009; 191 - 193.
Vancouver TEKE Z,ÖZGÜR A,TEKİN K Penetrating abdominal wound caused by a close-distance blank cartridge pistol shot: A case report. . 2009; 191 - 193.
IEEE TEKE Z,ÖZGÜR A,TEKİN K "Penetrating abdominal wound caused by a close-distance blank cartridge pistol shot: A case report." , ss.191 - 193, 2009.
ISNAD TEKE, ZAFER vd. "Penetrating abdominal wound caused by a close-distance blank cartridge pistol shot: A case report". (2009), 191-193.
APA TEKE Z, ÖZGÜR A, TEKİN K (2009). Penetrating abdominal wound caused by a close-distance blank cartridge pistol shot: A case report. Ulusal Travma ve Acil Cerrahi Dergisi, 15(2), 191 - 193.
Chicago TEKE ZAFER,ÖZGÜR Ali,TEKİN Koray Penetrating abdominal wound caused by a close-distance blank cartridge pistol shot: A case report. Ulusal Travma ve Acil Cerrahi Dergisi 15, no.2 (2009): 191 - 193.
MLA TEKE ZAFER,ÖZGÜR Ali,TEKİN Koray Penetrating abdominal wound caused by a close-distance blank cartridge pistol shot: A case report. Ulusal Travma ve Acil Cerrahi Dergisi, vol.15, no.2, 2009, ss.191 - 193.
AMA TEKE Z,ÖZGÜR A,TEKİN K Penetrating abdominal wound caused by a close-distance blank cartridge pistol shot: A case report. Ulusal Travma ve Acil Cerrahi Dergisi. 2009; 15(2): 191 - 193.
Vancouver TEKE Z,ÖZGÜR A,TEKİN K Penetrating abdominal wound caused by a close-distance blank cartridge pistol shot: A case report. Ulusal Travma ve Acil Cerrahi Dergisi. 2009; 15(2): 191 - 193.
IEEE TEKE Z,ÖZGÜR A,TEKİN K "Penetrating abdominal wound caused by a close-distance blank cartridge pistol shot: A case report." Ulusal Travma ve Acil Cerrahi Dergisi, 15, ss.191 - 193, 2009.
ISNAD TEKE, ZAFER vd. "Penetrating abdominal wound caused by a close-distance blank cartridge pistol shot: A case report". Ulusal Travma ve Acil Cerrahi Dergisi 15/2 (2009), 191-193.