Emergency chest wall reconstruction in open pneumo-thorax from gunshot chest: A case report

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Emergency chest wall reconstruction in open pneumo-thorax from gunshot chest: A case report


JournalJournal of Pakistan Medical Association
Publication date – Feb – 2020
Authors – Naveed Ullah Khan, Zahoor Ahmed, Farooq Malik, Javaid Ahmed, Sarwat Saeed, Inayat Ullah Baig
KeywordsChest wall reconstruction, Flap, Gunshot chest, Latissimus dorsi flap, Open pneumothorax, South Asia
Open access – Yes
SpecialityCardiothoracic surgery, Emergency surgery, Trauma surgery
World region Southern Asia
Country: Pakistan
Language – English
Submitted to the One Surgery Index on May 10, 2020 at 7:44 am
Abstract:

Chest trauma, penetrating or blunt is common in this era of motor vehicle accidents, violence and terrorism in South Asia. Islamabad is the capital of Pakistan but there is no dedicated chest surgery unit in any government sector hospitals. Gunshot chest, is therefore managed by general surgery team in our tertiary care setting i.e. Federal Government Polyclinic Hospital and Post Graduate Medical Institute, Islamabad. We report a case of gunshot chest with lung contusion and open pneumothorax with a chest wall defect of 10 x 15 cm. in March 2015, this young man presented in emergency department of Federal Government Polyclinic Hospital (FGPC), Post Graduate Medical Institute (PGMI) Islamabad in shock after self-inflicted point blank suicidal gunshot to his left anterolateral chest. After primary resuscitation, the patient was shifted to OR, and a left anterolateral thoracotomy performed. Lung contusion was repaired and chest drain placed. The challenging task of closing the huge chest wall defect was performed by rotating the left latissimus dorsi muscle flap. The patient was shifted to ICU and remained stable postoperatively.

OSI Number – 20331
PMID – 31981350

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