Gunshot Injury in the Neck With an Atypical Bullet Trajectory

Godhi, Brinda Suhas; Mittal, Gyanendra S; Kukreja, Pankaj

doi:10.1007/s12663-010-0124-6

Cited by 16 publications

(22 citation statements)

References 15 publications

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“…Moreover, especially the injuries to the neck and maxillofacial region could end with high morbidity and mortality. [123456791012] GSI to the orbit, especially the ones penetrating the globe could have devastating effects on all intra- and peri-orbital structures. [234516] As the bullet has both forward and rotatory movements, it possesses much higher amounts of kinetic energy to cause more damage in the eye.…”

Section: Discussionmentioning

confidence: 99%

“…The trachea, the esophagus, the carotid and the vertebral arteries, the cervical spine and the spinal cord, the phrenic nerve, and the brachial plexus are all vulnerable to injury with neck trauma. [12] Cranio-orbital injury and fractures involving the anterior skull base and orbit also often end-up with devastating results involving critical structures, such as the contents of the superior orbital fissure and optic nerve. Complications associated with orbitocranial injuries include infectious complications (ocular infection, meningitis, meningoencephalitis, and brain abscess), traumatic arteriovenous fistula, intracranial hemorrhage, oculorrhea, loss of mental and motor function due to severe damage to the brain parenchyma, ocular motility problems, cranial nerve palsies, total loss of vision/globe, and various cosmetic problems in which interdisciplinary surgical approach was needed.…”

mentioning

confidence: 99%

“…[181012] In such situations, the bullet's trajectory and final destination may be unpredictable. [13] To the best of our knowledge, no bullet to exit from the eye was reported in literature.…”

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confidence: 99%

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Unusual route of a bullet: From scapula to eye

Biler

Onay

Ceylan

et al. 2017

Indian J Ophthalmol

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Herein, an awkward case of globe perforation with a bullet-entering from the right posterior scapular region and leaving the body from the right orbit through the eye - is reported. Route of the bullet could be devastating - as it passed through the neck and the maxillofacial region-however by chance no vital damage occurred. Its path was assessed by plain radiography and computed tomography scans. Sometimes prediction of the trajectory is very difficult without additional radiological investigations. Especially, in the case of any high velocity projectile wounding, physician must be aware of the fact that the bullet's course will not be a linear but most probably a complicated one. Prognosis of the injury depends on the path of the bullet or shrapnel fragment, close clinical observation, an open-minded approach, and the multidisciplinary care. Moreover, even the crime investigation might be needed.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Unusual route of a bullet: From scapula to eye

Biler

Onay

Ceylan

et al. 2017

Indian J Ophthalmol

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“…Proper evaluation and treatment of patients with penetrating neck trauma requires a thorough knowledge of cervical anatomy, with nonoperative studies to supplement the physical examination [4]. Gunshot wounds cause injury by three mechanisms: direct tissue injury, temporary cavitation and transmission of shock waves [6].…”

Section: Discussionmentioning

confidence: 99%

“…The high density of vital structures in the neck makes injury to this region highly morbid and often fatal. It is indeed a rare finding that a bullet's trajectory passes through the neck region and does not damage any vital structures [6]. Gunshot wounds cause damage both from the bullet itself and from the blast effect.…”

Section: Introductionmentioning

confidence: 99%

Bullet in the Pharynx: Endoscopic Management

Saeed¹

2013

Journal of Case Reports in Medicine

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Gunshot wounds of the neck are diagnostically and therapeutically challenging cases and treatment should be individualized and multidisciplinary. We present an unusual case of bullet injury to the neck. A fourteen-year-old male patient sustained an accidental bullet injury to the submental area of the neck, with no serious injuries to the vital structures. The bullet was found close to the epiglottis, embedded in the pharynx between the base of the tongue and the lower pole of the left tonsil. The patient underwent a successful endoscopic removal with no serious postoperative complications. In this paper, this case is discussed, its presentation and management, together with literature review.

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Atypical Gunshot Injury Traversing the Neck with an Unexpected Nonlinear Bullet Trajectory: a Case Report and Review of the Literature

Matsui

Iguchi

Sato

et al. 2021

SN Compr. Clin. Med.

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Gunshot injuries involving the head and neck region yield profound morbidity and mortality rates. Projectile-related factors comprising various physical and dynamic properties of a bullet, as well as tissue-related factors, determine the disruptive effects of projectiles on living tissues. We experienced an extremely unusual case of a gunshot injury to the neck, wherein the bullet transversely penetrated across the deep neck structures to the contralateral side of the shoulder without damaging any vital organs. A 51-year-old man presented with a gunshot wound to the neck from a point-blank range. A bullet entry hole was observed on the left side of the neck without an exit hole; however, the patient was conscious, vital signs were normal, and no active bleeding, cranial nerve palsy, or aero-digestive tract injury was found. Imaging tests revealed a bullet lying in front of the right humeral head, which was extracted by emergency surgery. The patient was uneventfully discharged. According to the localization of the damaged tissues and the positional relationship between the bullet’s entrance and its destination, the bullet was estimated to have nonlinearly traversed the neck by traveling through the interstructural spaces associated with the least tissue resistance. Our experience strongly suggests the importance of realizing the unpredictable nature of a bullet trajectory in a body. An appropriate understanding of various ballistic factors and wounding mechanisms can be of great help in the adequate assessment and management of patients with gunshot injuries.

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Gunshot Injury in the Neck With an Atypical Bullet Trajectory

Cited by 16 publications

References 15 publications

Unusual route of a bullet: From scapula to eye

Unusual route of a bullet: From scapula to eye

Bullet in the Pharynx: Endoscopic Management

Atypical Gunshot Injury Traversing the Neck with an Unexpected Nonlinear Bullet Trajectory: a Case Report and Review of the Literature

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