Abdominal Injury Caused by an Air Gun Shot

A 54-year-old male with no medical history was admitted to the emergency room with penetrating abdominal injury caused by an accidental air gun shot. Upon admission, he was hemodynamically stable and showed one entrance wound site on his abdomen (Fig. 1.). His plain X-ray and CT (Fig. 2.) revealed a bullet located in the abdomen wall. Accordingly, we planned an emergency surgery and detected omental injury, perforation of the anterior and posterior walls of the stomach, and multiple perforations of the ileum (at 5 sites) (Fig. 3.). We then performed primary repair of the stomach and ileum and removed the bullet. The patient recovered without any complications. Brief Image in Trauma eISSN: 2508-8033 pISSN: 2508-5298