Penetrating Neck Injury Evolving into Thyroid Injury with Empty Cartridge

Article information

Trauma Image Proced. 2018;3(1):3-4
Publication date (electronic) : 2018 May 31
doi : https://doi.org/10.24184/tip.2018.3.1.3
Department of Surgery, Yonsei university Wonju college of medicine, Wonju Severance Christian Hospital, Trauma center
Correspondence to: Pil Young Jung, Department of Surgery, Yonsei university Wonju college of medicine, Wonju Severance Christian Hospital, 220-701, 20 Ilsan-ro, Wonju-si, Gangwon-do, South Korea Tel: 82-33-741-0882, Fax: 82-33-741-0574, E-mail: surgery4trauma@yonsei.ac.kr
Received 2018 April 4; Revised 2018 May 15; Accepted 2018 May 17.

Abstract

Gunshot injury is a relatively uncommon occurrence in South Korea. Here, we present a case of neck injury caused by an empty cartridge shot.

CASE

A 24-year-old male with no medical history was admitted to the emergency room with penetrating neck injury caused during his Reserved Forces Military Training. The patient was shot with a sharp object into his neck from behind while he was looking at a machine gun shooting process. Upon admission, he was found to be stable with one injury on his neck. His plain X-ray and CT (Fig. 1.) demanded an emergency surgery. Accordingly, we conducted a planned subtotal thyroidectomy (Fig. 2.). The patient recovered without complications.

Fig. 1.

Plain X-Ray and CT scan showing the location of the empty cartridge

Fig. 2.

(A) An external finding. The opening of the Gunshot wound is shown. (A) Surgical findings of a left thyroid injury (C) Specimen after subtotal thyroidectomy

DISCUSSION

The characteristic of a wound caused by a gunshot injury depends on the characteristics of bullet yawing, the position, and the section of the wound ballistics or profile [1]. Although gunshot injury is a rare event in South Korea, proper management is mandatory for handling future cases.

Notes

Conflict of Interest Statement

No potential conflict of interest relevant to this article was reported.

References

1. Peonim V, Srisont S, Udnoon J, Wongwichai S, Thapon A, Worasuwannarak W. Entrance and exit wounds of high velocity bullet: An autopsy analysis in the event of dispersing the mass rally in Bangkok Thailand, May 2010. Legal medicine 2016;23:10–6.

Article information Continued

Fig. 1.

Plain X-Ray and CT scan showing the location of the empty cartridge

Fig. 2.

(A) An external finding. The opening of the Gunshot wound is shown. (A) Surgical findings of a left thyroid injury (C) Specimen after subtotal thyroidectomy