Evidence map›Paper›PMID 36116307›Full record

ArticleInternational journal of surgery case reports2022

Retained bullet in the neck after gunshot wounds to the chest and arm in combat patient injured in the war in Ukraine: A case report.

Rostislav V Gybalo, Igor A Lurin, Vadym Safonov, Dmytro I Dudla, Denys V Oklei, Andrii Dinets

Open access · goldAbstract readCase Reports
In one paragraph

Article in International journal of surgery case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
8.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 36 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Rostislav V GybaloNational Military Medical Clinical Center "Main military medical center" of Ministry of Defense of Ukraine, Kyiv, Ukraine.
Igor A LurinNational Academy of Medical Sciences of Ukraine, Kyiv, Ukraine; State Institution of Science "Research and Practical Center of Preventive and Clinical Medicine", State Administrative Department, Kyiv, Ukraine.
Vadym SafonovMain Military Medical Clinical Center, Kyiv, Ukraine.
Dmytro I DudlaMain Military Medical Clinical Center, Kyiv, Ukraine.
Denys V OkleiVN Karazin Kharkiv National University, Kharkiv, Ukraine.
Andrii DinetsDepartment of Surgery, Institute of Biology and Medicine, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine. Electronic address: andrii.dinets@knu.ua.
Ukrainian Military Medical Academy · UAState Enterprise "L.I. Medved's Research Center of Preventive Toxicology, Food and Chemical Safety" of the Ministry of Health of Ukraine · UATaras Shevchenko National University of Kyiv · UAV. N. Karazin Kharkiv National University · UA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and importanceA gunshot wound is the most common injury in armed conflicts, resulting in severe trauma and increased morbidity usually due to damage to major vessels. Gunshot injury could be associated with the projectile location in one anatomical area, but the initial inlet place in another. PRESENTATION OF CASE: A 33-years old male patient received gunshot injuries to the left axillary area of the chest and left upper extremity in the battlefield area near Kyiv (Ukraine). The patient was diagnosed with multiple gunshot injuries, as judged from the presence of inlet and outlet holes in the chest and left upper arm. Without having any major complaints, the patient was examined by chest X-ray, showing a metal density fragment in the area of the first left rib, behind the left clavicle and adjacent to the left common carotid artery (CCA) and internal jugular vein (IJV). Surgery revealed 25 mm retained bullet in the area between CCA and IJV. CLINICAL DISCUSSION: Our case report is in line with others, showing that identification of the bullet or projectile fragment in unexpected locations was made by chance or due to routine application of protocols for the clinical evaluation of combat patients, including those without clinical signs or specific complaints.

conclusionA gunshot injury could be associated with an unusual bullet trajectory. A routine whole-body CT scan or chest and abdominal X-ray should be performed for all patients with gunshot injury of any localization for early detection of a possible retained bullet.

Indexed as

Atypical bullet trajectoryCase reportGunshot woundRetained bullet in the neckSupraclavicular areaWar in Ukraine

Identifiers

PMID36116307
PMCPMC9568753
OpenAlexW4295779098

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.