engleski

Head gunshot wound in thirteen year old boy

Thirteen year old boy was admitted ti the emergency room because of small wound on his right eyebrow. Anamnesis revealed that the wound was accidentally self inflicted by a air rifle. On admittance the boy was fully alert, Glasgow Coma Score 15 and walking with no neurological deficit. Skull x-ray showed metal fragments projecting inside the scull. Multi slice computerized tomography (MSCT) was performed showing two pieces of projectile. First one inside frontal sinus on the right side, and the second one penetrating the posterior wall of the sinus and brain parenchyma near the pole of right frontal pole, continuing upwards and stopping subcorticaly in area of superior frontal gyrus. Emergency surgery has been performed together with otorhinolaryngologist and both fragment were extracted. Postoperative course was regular and the patient fully recovered.

gunshot wound ; head ; air rifle ; traumatic brain injury

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