| Gunshot Wound
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Etiology
• Variety of guns including handguns, semiautomatic weapons, rifles and shotguns.
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Pathogenesis
• Bullet transmits kinetic energy to tissue
• Damage related to bullet type, distance from target, and materials that the bullet traversed before striking the organ.,
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Epidemiology
• Epidemic proportions in U.S. with >30,000 deaths/year in the 90's
• Among top 10 causes of death in the U.S.
• Particular problem in children (accidental) and young adults (homicide)
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General Gross Description
• Irregular perforations of the bowel accompanied by acute hemorrhage.
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General Microscopic Description
• Tissue disruption with hemorrhage.
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Clinical Correlation
• Treat small bowel lesions by resection.
• Peritoneal cavity will contain bowel contents.
• Outcome dependent on other injuries and blood loss.
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References
• Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 398-9.
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| Gunshot Wound
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| Synopsis by: Melinda Sanders M.D. (T64000E94710)[532]
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