Clinical Case
A CASE OF CHEST GUNSHOT SHRAPNEL BLIND WOUND WITH MAMMARY GLAND DAMAGE
Published
2025-08-28
Authors:
EK
E.M. Khoroshun
VM
V.V. Makarov
VN
V.V. Nehoduiko
SS
S.A. Shypilov
SP
S.I. Panasenko
ST
S.V. Tertyshnyi
RV
R.S. Vastyanov
- Abstract:
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The purpose of the study was to demonstrate the features of diagnosis and surgical treatment of gunshot shrapnel blind wound of the chest with damage to the mammary gland. Injured K., 27 years old, received a chest wound in a bulletproof vest while performing a combat mission after being dropped from a drone. An hour after the wound, she was delivered to the advanced surgical group in satisfactory condition, where a chest X-ray, antibiotic prophylaxis, tetanus toxoid, and dressing were performed. After 2 hours she was hospitalized with the following diagnosis: isolated gunshot shrapnel blind wound of the right breast. The surgical treatment was performed in the following scope: primary surgical treatment of the wound, removal of the foreign body (metal fragment). The foreign body was removed using a flexible device for removing ferromagnetic foreign bodies. Authors attracted attention that mammary glands gunshot wounds are a rare occurrence in general structure of gunshot wounds. The use of personal protective equipment does not always protect mammary glands from gunshot foreign bodies due to the poorly covered lateral surfaces. Authors concluded that modern surgical magnetic instrument use contributes to minimally invasive removal of gunshot foreign bodies from the mammary gland.
- Keywords:
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gunshot wound mammary gland metal fragment foreign body magnetic detection
- References:
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- Atlas boyovoyi khirurhichnoyi travmy (dosvid antyterorystychnoyi operatsiyi/operatsiyi obyednanykh syl). Pid. red. V.I. Tsimbalyuk. Kharkiv: Collegium, 2021. 385 [in Ukrainian].
- Atlas promenevoyi diahnostyky vohnepalnykh poranen. Pid. red. V.I. Tsimbalyuk. Vinnytsya: TVORY, 2024. 472 [in Ukrainian].
- Vohnepalni poranennya myakykh tkanyn (dosvid antyterorystychnoyi operatsiyi/operatsiyi obyednanykh syl). Pid. red. V.I. Tsimbalyuk. Kharkiv: Collegium, 2020. 400 [in Ukrainian].
- Gumenyuk KV, Gangal II, Karpenko KK. Nadannya vysokospetsializovanoyi medychnoyi dopomohy viyskovosluzhbovtsyam Zbroynykh Syl Ukrayiny miniinvazyvnymy renthenendovaskulyarnymy metodykamy. Zaporizkyy medychnyy zhurnal. 2021; 23(3): 375-380. doi: 10.14739/2310-1210.2021.3.223139 [in Ukrainian].
- Korol SO, Bely VYa, Gumenyuk KV, Hybalo RV, Grishov AA, Zagovenko MA. Aktualni pytannya ta osoblyvosti pidhotovky viyskovykh khirurhiv v umovakh povnomasshtabnoyi ahresiyi rf proty derzhavy Ukrayina. Ukrayinskyy zhurnal viyskovoyi medytsyny. 2023; 4(1): 5-12. doi 10.46847/ujmm.2023.1(4)-005 [in Ukrainian].
- Likuvannya poranenykh z boyovymy ushkodzhennyamy hrudey. Pid. red. V.I. Tsimbalyuk. Ternopil: TNMU, 2023. 236 [in Ukrainian].
- Medychna dopomoha uchasnykam boyovykh diy. Pid. red. O.M. Khvysyuk, V.H. Marchenko, B.V. Mykhaylov. Kharkiv: DISA Plyus, 2019. 576 [in Ukrainian].
- Nastanovy z voyenno-polovoyi khirurhiyi. Pid. red. K.V. Humenyuk, S.O. Korol, R.V. Hybalo. Kyyiv: Vydavnytstvo Lyudmyla, 2024. 572 [in Ukrainian].
- Al Horani O, Al-Ghotani B, Albelal D, Alabdallah E, Kamil H, Al-Mahasna S. A case report of a bullet in the breast of a woman for four years without any complications. Int J Surg Case Rep. 2023; 105: 108049. doi: 10.1016/j.ijscr.2023.108049.
- Anto J, Kumar Anil, Kumar Anurag, Anwer M, Kumar Subhash, Kumar Deepak Gunshot injury to the chest wall with an unusual bullet trajectory: A rare case report. Int J Surg Case Rep. 2022 Jul:96:107343. doi: 10.1016/j.ijscr.2022.107343.
- Chung HL, Leung JWT. Foreign body granuloma from a gunshot injury to the breast. Clin Imaging. 2020; 68: 197-201. doi: 10.1016/j.clinimag.2020.08.021.
- Khoroshun EM, Makarov VV, Nehoduiko VV, Shypilov SA, Tertyshnyi SV, Veryovkin IV. et al. Non-operative treatment of gunshot wounds of soft tissues. World of Medicine and Biology. 2024; 2(88): 180-184. doi: 10.26724/2079-8334-2024-2-88-180-184
- Rhee PM, Moore EE, Joseph B, Tang A, Pandit V, Vercruysse G. Gunshot wounds: a review of ballistics, bullets, weapons, and myths. J Trauma Acute Care Surg. 2016; 80(6): 853-867. doi: 10.1097/TA.0000000000001037.
- Tsymbaliuk V, Lurin I, Gumeniuk K, Herasymenko O, Furkalo S, Oklei D. et al. Modeling of wound ballistics in biological tissues simulators. Medicni Perspektivi. 2023; 28(1): 37–48. doi: 10.26641/2307-0404.2023.1.275866.
- Tsymbaliuk VI, Abdulaev RYa, Lurin LA, Lazoryshynets VV, Usenko OY, Dykan IM. et al. Imaging of toracoabdominal gunshot wounds. Kharkiv: Fact, 2024. 152.
- Publication:
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«World of Medicine and Biology»
Vol. 21 No. 93 (2025)
, с. 272-276
УДК 616.721.2-002+613.67:617+617.57/.58-001.45-089.81
How to Cite
A CASE OF CHEST GUNSHOT SHRAPNEL BLIND WOUND WITH MAMMARY GLAND DAMAGE. (2025). World of Medicine and Biology, 21(93), 272-276. https://doi.org/10.26724/2079-8334-2025-3-93-272-276
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