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A 24-year-old male is brought to the emergency room following a gunshot wound (GSW) to the left lower abdomen. On initial examination his blood pressure is 80/65 mmHg, heart rate is 140/min, and respiratory rate is 26/min. He is pale, diaphoretic, and writhing in pain. The patient’s airway is patent, and breath sounds are equal bilaterally. He has a rigid abdomen with diffuse tenderness, guarding, and rebound. There is a single GSW to the left lower quadrant. Palpation of the patient’s groin reveals pulses are bilaterally weak but symmetrical. Despite starting blood product transfusion, he continues to remain hypotensive.

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Penetrating Abdominal Trauma

  • 章节

  • 发表日期：

    2026年

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  • James McDermott,
  • Jeffry Nahmias,
  • Areg Grigorian,
  • Dennis Y. Kim

摘要

A 24-year-old male is brought to the emergency room following a gunshot wound (GSW) to the left lower abdomen. On initial examination his blood pressure is 80/65 mmHg, heart rate is 140/min, and respiratory rate is 26/min. He is pale, diaphoretic, and writhing in pain. The patient’s airway is patent, and breath sounds are equal bilaterally. He has a rigid abdomen with diffuse tenderness, guarding, and rebound. There is a single GSW to the left lower quadrant. Palpation of the patient’s groin reveals pulses are bilaterally weak but symmetrical. Despite starting blood product transfusion, he continues to remain hypotensive.