Bullet combined wound of the right kidney and liver

Abstract

G., 20 years old, was taken to the surgical department on 8/II 1963 30 minutes after a bullet wound to the right half of the chest. Upon admission, the condition is severe, abdominal pain, vomiting without blood impurities. Pulse 82, satisfactory filling, BP 115/77. In the area of the 10th intercostal space on the right along the anterior axillary line, there is a wound of 1.0x1.0 cm (entrance hole), the second (exit hole) is on the right in the upper lumbar region, with uneven edges, measuring 4x4 cm; blood flows out of it. The stomach is tense, does not participate in the act of breathing, is painful. The Shchetkin-Blumberg symptom is negative. There is a dull feeling in the right half of the abdomen. The patient does not urinate. The urine released by the catheter is intensely stained with blood.

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