Delayed presentation of a firearm injury in a patient with recent use of phencyclidine: A case report
The rapid delivery of care for penetrating traumatic injury, such as gunshot wounds, is essential to minimizing the morbidity and mortality rate. It is highly unusual for a patient who has sustained a firearm injury to present over 24 h after the event and even more unusual for the patient to be amn...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-02-01
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| Series: | Trauma Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644019301062 |
| _version_ | 1818516213844672512 |
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| author | Rebecca Siegel Babak Sarani Andrew C. Meltzer |
| author_facet | Rebecca Siegel Babak Sarani Andrew C. Meltzer |
| author_sort | Rebecca Siegel |
| collection | DOAJ |
| description | The rapid delivery of care for penetrating traumatic injury, such as gunshot wounds, is essential to minimizing the morbidity and mortality rate. It is highly unusual for a patient who has sustained a firearm injury to present over 24 h after the event and even more unusual for the patient to be amnestic to the event. We report a case of a 44-year old woman who presented to the Emergency Department (ED) with an abdominal firearm injury sustained over 24 h earlier. The patient had no recollection of the events surrounding this injury. An abdominal Computed Tomography (CT) scan confirmed an intra-abdominal injury consistent with ballistic trauma. Upon further questioning, the patient continued to deny having sustained a gunshot but did reveal that she smoked phencyclidine (PCP) one day earlier with her boyfriend. The patient was admitted for emergency laparotomy and bowel resection and had a prolonged hospital course due to development of necrotizing soft tissue infection of the abdominal wall and an enterocutaneous fistula. This case represents an unusual delayed presentation of ballistic trauma after recreational consumption of PCP. Keywords: Phencyclidine, Gunshot wound, Delayed presentation |
| first_indexed | 2024-12-11T00:39:06Z |
| format | Article |
| id | doaj.art-faa0467aa75d416fb75993fe8fea01a8 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-12-11T00:39:06Z |
| publishDate | 2020-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-faa0467aa75d416fb75993fe8fea01a82022-12-22T01:27:01ZengElsevierTrauma Case Reports2352-64402020-02-0125Delayed presentation of a firearm injury in a patient with recent use of phencyclidine: A case reportRebecca Siegel0Babak Sarani1Andrew C. Meltzer2The George Washington University School of Medicine and Health Sciences, Department of Emergency Medicine, Washington, DC, USAThe George Washington University School of Medicine and Health Sciences, Department of Surgery and Emergency Medicine, Washington, DC, USAThe George Washington University School of Medicine and Health Sciences, Department of Emergency Medicine, Washington, DC, USA; Corresponding author at: The Department of Emergency Medicine, 2120 L Street NW, Suite 450, Washington, DC 20037, USA.The rapid delivery of care for penetrating traumatic injury, such as gunshot wounds, is essential to minimizing the morbidity and mortality rate. It is highly unusual for a patient who has sustained a firearm injury to present over 24 h after the event and even more unusual for the patient to be amnestic to the event. We report a case of a 44-year old woman who presented to the Emergency Department (ED) with an abdominal firearm injury sustained over 24 h earlier. The patient had no recollection of the events surrounding this injury. An abdominal Computed Tomography (CT) scan confirmed an intra-abdominal injury consistent with ballistic trauma. Upon further questioning, the patient continued to deny having sustained a gunshot but did reveal that she smoked phencyclidine (PCP) one day earlier with her boyfriend. The patient was admitted for emergency laparotomy and bowel resection and had a prolonged hospital course due to development of necrotizing soft tissue infection of the abdominal wall and an enterocutaneous fistula. This case represents an unusual delayed presentation of ballistic trauma after recreational consumption of PCP. Keywords: Phencyclidine, Gunshot wound, Delayed presentationhttp://www.sciencedirect.com/science/article/pii/S2352644019301062 |
| spellingShingle | Rebecca Siegel Babak Sarani Andrew C. Meltzer Delayed presentation of a firearm injury in a patient with recent use of phencyclidine: A case report Trauma Case Reports |
| title | Delayed presentation of a firearm injury in a patient with recent use of phencyclidine: A case report |
| title_full | Delayed presentation of a firearm injury in a patient with recent use of phencyclidine: A case report |
| title_fullStr | Delayed presentation of a firearm injury in a patient with recent use of phencyclidine: A case report |
| title_full_unstemmed | Delayed presentation of a firearm injury in a patient with recent use of phencyclidine: A case report |
| title_short | Delayed presentation of a firearm injury in a patient with recent use of phencyclidine: A case report |
| title_sort | delayed presentation of a firearm injury in a patient with recent use of phencyclidine a case report |
| url | http://www.sciencedirect.com/science/article/pii/S2352644019301062 |
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