One Bullet Causing Five Holes, Laparoscopic Exploration with Repair: A Case Report and Review of the Literature

Figure 2

(a) Intraoperative laparoscopic visualization of stool contamination adjacent to the sigmoid colon. (b) Intraoperative laparoscopic visualization of first sigmoid perforation. (c) Intraoperative laparoscopic visualization of the sigmoid colon after repair of first perforation; second perforation visualized on the right. (d) Intraoperative laparoscopic visualization of the sigmoid colon during repair of second perforation. (e) Intraoperative laparoscopic visualization of the sigmoid colon following repair of second perforation. (f) Intraoperative laparoscopic visualization of rectal wall laceration. (g) Intraoperative laparoscopic visualization of the rectal wall following repair of laceration. (h) Intraoperative laparoscopic visualization of bladder laceration. (i) Intraoperative laparoscopic visualization of the bladder following repair of laceration. (j) Intraoperative laparoscopic visualization of the bladder with distillation for assessment of leak. (k) Intraoperative laparoscopic visualization of midsmall bowel perforation. (l) Intraoperative laparoscopic visualization of midsmall bowel following repair of perforation.

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