E4835. Bullet Points: Radiology's Contribution to Abdominal and Thoracic Gunshot Trauma
Authors
Andres Gorbea;
Universidad Central del Caribe
Jorge Vidal;
University of Alabama at Birmingham
Carlos Perez;
University of Puerto Rico School of Medicine
Jerry Cruz;
Universidad Central del Caribe
Francis Cedeño;
University of Puerto Rico School of Medicine
Pablo Hemphill;
University of Puerto Rico School of Medicine
Luis Garcia;
University of Puerto Rico School of Medicine
Background
This educational exhibit focuses on providing a comprehensive overview of gunshot wounds (GSW) that target the chest, abdomen, and pelvis. It aims to underscore the importance of identifying different types of injuries resulting from GSW and recommends optimal imaging methods for efficient evaluation and management. The exhibit is structured to explore specific injury categories and their associated considerations.
Educational Goals / Teaching Points
The educational goals of this exhibit are to enhance the understanding of radiologists about the complexities of GSW injuries in the chest, abdomen, and pelvis. The exhibit emphasizes the significance of accurate injury identification and selection of appropriate imaging modalities for prompt assessment. Through detailed descriptions of various injury types, the exhibit aims to educate about the importance of timely intervention and effective treatment planning.
Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
The exhibit delves into specific injury categories, starting with GSW to the chest, covering lung, vascular, and diaphragmatic involvement. Liver and gallbladder injuries are explored, spanning from minor contusions to complete transections, with a focus on associated structural impact. Soft tissue, hollow viscus, and bone injuries in the abdomen are highlighted, emphasizing the need for swift imaging to uncover hidden damage. Genitourinary injuries' potential for morbidity and mortality is stressed, advocating CT scans for diagnosis and urgent treatment. Vascular injuries are outlined due to their potential for significant blood loss, requiring immediate imaging-guided intervention. Lung injuries, including traumatic pneumothorax and hemorrhage, are discussed, underscoring imaging's role in understanding trajectory and affected structures.
Conclusion
In conclusion, this educational exhibit provides a comprehensive resource for understanding and managing GSW injuries affecting the chest, abdomen, and pelvis. It emphasizes the diversity of potential injuries, recommends appropriate imaging techniques for accurate diagnosis, and underscores the critical need for timely intervention to minimize complications and enhance patient outcomes. This exhibit serves as a valuable tool for healthcare professionals seeking to enhance their knowledge and skills in the assessment and management of GSW injuries.
