Gunshot vaginal trauma
Nonobstetric vaginal or vulva trauma is an extremely rare occurrence, with an incidence of < 0.2% of traumas. CT represents the gold standard in the diagnosis of gunshot lesions due to its ability to detect and stage injuries with very high sensitivity and specificity. A standardized protocol for...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-12-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323006969 |
| _version_ | 1797653602877046784 |
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| author | Federica Dell'Aversana, MD Rosita Comune, MD Marco Scognamiglio, MD Francesca Grassi, MD Adele Durante, MD Roberta Avallone, MD Michele Tonerini, MD Pietro Affinito, MD Fabio Tamburro, MD Mariano Scaglione, MD |
| author_facet | Federica Dell'Aversana, MD Rosita Comune, MD Marco Scognamiglio, MD Francesca Grassi, MD Adele Durante, MD Roberta Avallone, MD Michele Tonerini, MD Pietro Affinito, MD Fabio Tamburro, MD Mariano Scaglione, MD |
| author_sort | Federica Dell'Aversana, MD |
| collection | DOAJ |
| description | Nonobstetric vaginal or vulva trauma is an extremely rare occurrence, with an incidence of < 0.2% of traumas. CT represents the gold standard in the diagnosis of gunshot lesions due to its ability to detect and stage injuries with very high sensitivity and specificity. A standardized protocol for penetrating trauma is still under debate for the use of intravenous contrast only or also rectal and oral contrast. Herein, we report a case of gunshot vaginal trauma in a 43-year-old patient presenting with vaginal bleeding. In our case, the protocol was “patient's tailored,” the intravaginal selective use of air was administered due to symptoms (vaginal bleeding) and CT findings, this 2-step protocol increased diagnostic confidence and allow a correct and challenging diagnosis. |
| first_indexed | 2024-03-11T16:46:58Z |
| format | Article |
| id | doaj.art-215843e725af49b28d395c4fd6b28cef |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-11T16:46:58Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-215843e725af49b28d395c4fd6b28cef2023-10-22T04:48:53ZengElsevierRadiology Case Reports1930-04332023-12-01181245444548Gunshot vaginal traumaFederica Dell'Aversana, MD0Rosita Comune, MD1Marco Scognamiglio, MD2Francesca Grassi, MD3Adele Durante, MD4Roberta Avallone, MD5Michele Tonerini, MD6Pietro Affinito, MD7Fabio Tamburro, MD8Mariano Scaglione, MD9Division of Radiology, Università degli Studi della Campania Luigi Vanvitelli, Naples, ItalyDivision of Radiology, Università degli Studi della Campania Luigi Vanvitelli, Naples, Italy; Corresponding author.Division of Radiology, Università degli Studi della Campania Luigi Vanvitelli, Naples, ItalyDivision of Radiology, Università degli Studi della Campania Luigi Vanvitelli, Naples, ItalyDivision of Radiology, Università degli Studi della Campania Luigi Vanvitelli, Naples, ItalyDivision of Radiology, Università degli Studi della Campania Luigi Vanvitelli, Naples, ItalyDepartment of Emergency Radiology, Cisanello Hospital, Pisa, ItalyDivision of Radiology, Università degli Studi della Campania Luigi Vanvitelli, Naples, ItalyDepartment of Radiology, Ospedale del Mare-ASL NA1 Centro, Naples, ItalyDepartment of Medicine, Surgery and Pharmacy, University of Sassari, Piazza Università, Sassari, Italy; Department of Radiology, James Cook University Hospital, Middlesbrough, UKNonobstetric vaginal or vulva trauma is an extremely rare occurrence, with an incidence of < 0.2% of traumas. CT represents the gold standard in the diagnosis of gunshot lesions due to its ability to detect and stage injuries with very high sensitivity and specificity. A standardized protocol for penetrating trauma is still under debate for the use of intravenous contrast only or also rectal and oral contrast. Herein, we report a case of gunshot vaginal trauma in a 43-year-old patient presenting with vaginal bleeding. In our case, the protocol was “patient's tailored,” the intravaginal selective use of air was administered due to symptoms (vaginal bleeding) and CT findings, this 2-step protocol increased diagnostic confidence and allow a correct and challenging diagnosis.http://www.sciencedirect.com/science/article/pii/S1930043323006969CT protocol traumaGunshot injuryPenetrating traumaVaginal trauma |
| spellingShingle | Federica Dell'Aversana, MD Rosita Comune, MD Marco Scognamiglio, MD Francesca Grassi, MD Adele Durante, MD Roberta Avallone, MD Michele Tonerini, MD Pietro Affinito, MD Fabio Tamburro, MD Mariano Scaglione, MD Gunshot vaginal trauma Radiology Case Reports CT protocol trauma Gunshot injury Penetrating trauma Vaginal trauma |
| title | Gunshot vaginal trauma |
| title_full | Gunshot vaginal trauma |
| title_fullStr | Gunshot vaginal trauma |
| title_full_unstemmed | Gunshot vaginal trauma |
| title_short | Gunshot vaginal trauma |
| title_sort | gunshot vaginal trauma |
| topic | CT protocol trauma Gunshot injury Penetrating trauma Vaginal trauma |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323006969 |
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