{"title":"Projectile Ballistic Injury to the Right Chest: A Life-Threatening Complication of a Firecracker","authors":"Nitish Kumar, Harkant Singh, Mohamed Irshad M.R.","doi":"10.1007/s12262-024-04150-6","DOIUrl":null,"url":null,"abstract":"<p>This case report describes the rare occurrence of a projectile ballistic injury resulting from the detonation of a locally made firecracker, also known as “TOPDA,” during Diwali festivities. The 18-year-old male patient presented with a penetrating injury to the right chest wall, causing immediate unconsciousness and hemodynamic instability. Emergency interventions, including chest tube insertion and resuscitation, were performed. A metallic foreign body near the right atrial appendage was identified on imaging. Surgical removal via thoracotomy was successfully done, with repair of the lung parenchyma. The case emphasizes the importance of maintaining a cardiopulmonary bypass setup for potential cardiac emergencies.</p>","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s12262-024-04150-6","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
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Abstract
This case report describes the rare occurrence of a projectile ballistic injury resulting from the detonation of a locally made firecracker, also known as “TOPDA,” during Diwali festivities. The 18-year-old male patient presented with a penetrating injury to the right chest wall, causing immediate unconsciousness and hemodynamic instability. Emergency interventions, including chest tube insertion and resuscitation, were performed. A metallic foreign body near the right atrial appendage was identified on imaging. Surgical removal via thoracotomy was successfully done, with repair of the lung parenchyma. The case emphasizes the importance of maintaining a cardiopulmonary bypass setup for potential cardiac emergencies.
期刊介绍：
The Indian Journal of Surgery is the official publication of the Association of Surgeons of India that considers for publication articles in all fields of surgery. Issues are published bimonthly in the months of February, April, June, August, October and December.
The journal publishes Original article, Point of technique, Review article, Case report, Letter to editor, Teachers and surgeons from the past - A short (up to 500 words) bio sketch of a revered teacher or surgeon whom you hold in esteem and Images in surgery, surgical pathology, and surgical radiology.
A trusted resource for peer-reviewed coverage of all types of surgery
Provides a forum for surgeons in India and abroad to exchange ideas and advance the art of surgery
The official publication of the Association of Surgeons of India
92% of authors who answered a survey reported that they would definitely publish or probably publish in the journal again
The Indian Journal of Surgery offers peer-reviewed coverage of all types of surgery. The Journal publishes Original articles, Points of technique, Review articles, Case reports, Letters, Images and brief biographies of influential teachers and surgeons.
The Journal spans General Surgery, Pediatric Surgery, Neurosurgery, Plastic Surgery, Cardiothoracic Surgery, Vascular Surgery, Rural Surgery, Orthopedic Surgery, Urology, Surgical Oncology, Radiology, Anaesthesia, Trauma Services, Minimal Access Surgery, Endocrine Surgery, GI Surgery, ENT, Colorectal Surgery, surgical practice and research.
The Journal provides a forum for surgeons from India and abroad to exchange ideas, to propagate the advancement of science and the art of surgery and to promote friendship among surgeons in India and abroad. This has been a trusted platform for surgons in communicating up-to-date scientific informeation to the community.
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