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| Biplab Mishra,Mohit Kumar Joshi,Subodh Kumar,Atin Kumar,Amit Gupta,Amulya Rattan,Sushma Sagar,Maneesh Singhal,Mahesh Chandra Misra.[J].Chin J Traumatol,2017,20(2):122-124. [doi] |
| Innocuous cardiac gunshot that proved fatal: A bitter lesson learned |
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| DOI： |
| KeyWord: PericardiumHeartWoundsGunshotFirearms |
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| Author Name | Affiliation | | Biplab Mishra | Department of Surgical Disciplines, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi 110029, India | | Mohit Kumar Joshi | Department of Surgical Disciplines, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi 110029, India | | Subodh Kumar | Department of Surgical Disciplines, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi 110029, India | | Atin Kumar | Department of Radiodiagnosis, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi 110029, India | | Amit Gupta | Department of Surgical Disciplines, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi 110029, India | | Amulya Rattan | Department of Surgical Disciplines, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi 110029, India | | Sushma Sagar | Department of Surgical Disciplines, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi 110029, India | | Maneesh Singhal | Department of Surgical Disciplines, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi 110029, India | | Mahesh Chandra Misra | Department of Surgical Disciplines, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi 110029, India |
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| Abstract: |
| The management of hemodynamically normal patients with retained intra-pericardial foreign body remains a matter of conjecture. The available literature supports non-operative management of such
innocuous foreign bodies. We report our experience of a hemodynamically normal patient with a
retained intra-pericardial pellet from a firearm injury. He initially received successful non-operative management but developed fatal hemopericardium 21 days after injury. In this paper, we discussed the pitfalls in the management of such injuries in light of the available literature and summarized the clinical experience. |
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