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Revista chilena de cirugía

On-line version ISSN 0718-4026

Abstract

SANHUEZA P, Belén; RUIZ F, Iván  and  ALVAREZ Z, Carlos. Transmediastinal gunshot wound treated conservatively. Rev Chil Cir [online]. 2014, vol.66, n.1, pp.78-80. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262014000100013.

Background: Patients with mediastinal trauma are subjected to numerous surgical procedures and have a high mortality. Fifty percent of patients will require emergency surgery and its indication depends on their hemodynamic condition on admission. Less than 10% of hemodynamically stable patients will require surgery. Case report: A 22 years old male with a transmediastinal gunshot wound. The bullet crossed the sternum and lodged in the anterior mediastinum in front of the heart and great vessels, without causing visceral lesions. A chest X ray, echocardiography, CT scan and routine laboratory were performed. The patient was treated with antimicrobials and analgesics with a satisfactory evolution. After two years of follow up, he is in good conditions.

Keywords : Gunshot; mediastinum; thoracic injuries.

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