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Case Reports in Surgery
Volume 2016, Article ID 2712439, 3 pages
http://dx.doi.org/10.1155/2016/2712439
Case Report

Laparoscopic Bullet Removal in a Penetrating Abdominal Gunshot

1Department of Surgery, “G. Hatzikosta” General Hospital, Makriyianni Avenue, 45001 Ioannina, Greece
2Department of Surgery, Filiates General Hospital, 1 Mpempi Street, 45600 Filiates, Greece

Received 5 May 2016; Accepted 5 July 2016

Academic Editor: Cheng-Yu Long

Copyright © 2016 Christos Stefanou et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Penetrating abdominal trauma has been traditionally treated by exploratory laparotomy. Nowadays laparoscopy has become an accepted practice in hemodynamically stable patient without signs of peritonitis. We report a case of a lower anterior abdominal gunshot patient treated laparoscopically. A 32-year-old male presented to the Emergency Department with complaint of gunshot penetrating injury at left lower anterior abdominal wall. The patient had no symptoms or obvious bleeding and was vitally stable. On examination we identified 1 cm diameter entry wound at the left lower abdominal wall. The imaging studies showed the bullet in the peritoneal cavity but no injured intraperitoneal and retroperitoneal viscera. We decided to remove the bullet laparoscopically. Twenty-four hours after the intervention the patient was discharged. The decision for managing gunshot patients should be based on clinical and diagnostic findings. Anterior abdominal injuries in a stable patient without other health problems can be managed laparoscopically.