J Trauma Inj.  2024 Dec;37(4):286-290. 10.20408/jti.2024.0036.

A starry night: a case report of severe liver injury due to a close-range shotgun blast in Argentina

• Gasque RA
• Cervantes JG
• Beltrame MC
• Lenz-Virreira ME
• Quiñonez EG

• KMID: 2562950
• DOI: http://doi.org/10.20408/jti.2024.0036

Abstract

This report presents the case of a 20-year-old man who sustained a severe liver injury from a close-range shotgun blast. A prompt medical intervention, including damage control exploratory laparotomy and surgical debridement, was undertaken due to the extent of liver damage. Despite challenges such as a nondirected biliary fistula and extensive liver parenchymal injury, comprehensive surgical management led to successful treatment. Postoperative complications, including biloma and fungal infection, were managed appropriately, highlighting the importance of vigilant follow-up care. The case underscores the complexity of managing severe liver trauma and emphasizes the evolving role of trauma damage control strategies and minimally invasive procedures in achieving favorable outcomes.

Keyword

Liver; Wounds and injuries; Firearms; Gunshot wounds; Case reports