{"id":4325,"date":"2025-05-01T15:47:49","date_gmt":"2025-05-01T13:47:49","guid":{"rendered":"http:\/\/www.internalmed-journal.in.ua\/?p=4325"},"modified":"2025-06-06T17:48:19","modified_gmt":"2025-06-06T15:48:19","slug":"%d0%b4%d1%96%d0%b0%d0%b3%d0%bd%d0%be%d1%81%d1%82%d0%b8%d1%87%d0%bd%d1%96-%d0%b0%d1%81%d0%bf%d0%b5%d0%ba%d1%82%d0%b8-%d0%b2%d0%be%d0%b3%d0%bd%d0%b5%d0%bf%d0%b0%d0%bb%d1%8c%d0%bd%d0%b8%d1%85-%d0%bf","status":"publish","type":"post","link":"http:\/\/www.internalmed-journal.in.ua\/en\/archives\/4325","title":{"rendered":"Diagnostic aspects of gunshot wounds of chest organs"},"content":{"rendered":"<p><b>Ph.D., asst. Ruslan R. Abdullayev<\/b><\/p>\n<p><strong>Kharkiv National Medical University<\/strong><b>, Department of Radiology and Radiology<\/b><\/p>\n<p>Gunshot wounds to the chest are often the cause of death. According to literature, about 90% of patients with penetrating chest wounds die before arriving at the hospital. The high mortality rate from chest injuries is due to damage to vital structures in the chest, including the lungs, heart, and major vessels. Radiological diagnostic methods, which include radiography, computed tomography, and ultrasonography, play an important role in assessing the nature of damage to the chest organs \u2014 lungs, heart, and large vessels. Cases with gunshot wounds to the chest are presented in separate publications. It is necessary to study in more detail the features of radiological examination methods in order to assess the nature of damage to the chest organs resulting from modern combat operations.<\/p>\n<p><strong>Key words<\/strong>: gunshot wounds to the chest, radiography, ultrasonography, computed tomography.<\/p>\n<p data-sourcepos=\"9:1-13:94\"><strong>https:\/\/doi.org\/10.15407\/internalmed2025.01.038<\/strong><\/p>\n<p><a href=\"http:\/\/www.internalmed-journal.in.ua\/wp-content\/uploads\/2025\/06\/\u0421\u041c_1_2025_08_05_2025-38-42.pdf\"><strong>Download.PDF (ukr)<\/strong><\/a><\/p>\n<p><strong>Cite:<\/strong><\/p>\n<p>\u0410\u0431\u0434\u0443\u043b\u043b\u0430\u0454\u0432 \u0420.\u0420. \u0414\u0456\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u0447\u043d\u0456 \u0430\u0441\u043f\u0435\u043a\u0442\u0438 \u0432\u043e\u0433\u043d\u0435\u043f\u0430\u043b\u044c\u043d\u0438\u0445 \u043f\u043e\u0440\u0430\u043d\u0435\u043d\u044c \u043e\u0440\u0433\u0430\u043d\u0456\u0432 \u0433\u0440\u0443\u0434\u043d\u043e\u0457 \u043a\u043b\u0456\u0442\u043a\u0438\/\u0421\u0445\u0456\u0434\u043d\u043e\u0454\u0432\u0440\u043e\u043f\u0435\u0439\u0441\u044c\u043a\u0438\u0439 \u0436\u0443\u0440\u043d\u0430\u043b \u0432\u043d\u0443\u0442\u0440\u0456\u0448\u043d\u044c\u043e\u0457 \u0442\u0430 \u0441\u0456\u043c\u0435\u0439\u043d\u043e\u0457 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0438. \u2013 2025. \u2013 \u2116 1. \u2013 \u0421. 38-42. doi.org\/10.15407\/internalmed2025.01.038<\/p>\n<p>Abdullayev RR. Diagnostic aspects of gunshot wounds of chest organs. Shidnoevropejskij Zurnal Vnutrisnoi Ta Simejnoi Medicini. 2025(1):38-42. doi.org\/10.15407\/internalmed2025.01.038<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Durso AM, Caban K, Munera F. Penetrating thoracic Injury. Radiol Clin North Am. 2015;53(4):675-93. https:\/\/doi.org\/10.1016\/j.rcl.2015.02.010<\/li>\n<li>Edgecombe L, Sigmon DF, Galuska MA, Angus LD. Thoracic trauma. In: StatPearls. Treasure Island (FL): StatPearls Publishing; May 29, 2022.<\/li>\n<li>Seamon MJ, Haut ER, Van Arendonk K, et al. An evidence-based approach to patient selection for emergency department thoracotomy: a practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2015; 79:159-73. 10.1097\/TA.0000000000000648<\/li>\n<li>Yakovenko VV, Grechanik EI, Abdullayev RYa, Bychenkov VV, Gumenyuk KV, Sobko IV. Modeling of the influence of fragments of ammunition on the biological tissue of a military in protective elements of combat equipment. Azerbaijan Medical Journal. 2020;4:107-115.<\/li>\n<li>Tran J, Haussner W, Shah K. Traumatic Pneumothorax: a review of current diagnostic practices and evolving management. J Emerg Med. 2021; 61(5):517-528. https:\/\/doi.org\/10.1016\/j.jemermed.2021.07.006<\/li>\n<li>Daurat A, Millet I, Roustan J-P, Maury C, Taourel P, Jaber S et al. Thoracic trauma severity score on admission allows to determine the risk of delayed ARDS in trauma patients with pulmonary contusion. Injury. 2016; 47 (1):147-53. https:\/\/doi.org\/10.1016\/j.injury.2015.08.031<\/li>\n<li>Soult MC, Weireter LJ, Britt RC, Collins JN, Novosel TJ, Reed SF, Britt LD. Can routine trauma bay chest x-ray be bypassed with an extended focused assessment with sonography for trauma examination? Am Surg. 2015;81:336-40. https:\/\/doi.org\/10.1177\/000313481508100420<\/li>\n<li>Pust GD, Namias N: Resuscitative thoracotomy. Int J Surg. 2016; 33:202-8. https:\/\/doi.org\/10.1016\/j.ijsu.2016.04.006<\/li>\n<li>Jain J., Bhasin D., Gupta A., Isser H.S., Bansal S. Cardiac Gunshot Injury. JACC Case Rep. 2021 Jan; 3(1): 16-19. doi: 10.1016\/j.jaccas.2020.06.049. PMCID: PMC8305087. PMID: 34317461.<\/li>\n<li>Kuo AH, Gregorat AE, Restrepo CS, Vinu-Nair S. J Vasc Surg 2019; 70: 298-3066. https:\/\/doi.org\/10.1016\/j.jvs.2019.02.004<\/li>\n<li>Toba Bolaji, Abuoma C. Ekpendu, Frederick Giberson. Gunshot Wound to the Chest With Retained Epicardial Bullet. (2022). Transitional Year. 5. https:\/\/doi.org\/10.7759\/cureus.29422<\/li>\n<li>Mishra B., Joshi M.K., Kumar S. Innocuous cardiac gunshot that proved fatal: a bitter lesson learned. Chin J Traumatol. 2017;20:122-124. https:\/\/doi.org\/10.1016\/j.cjtee.2016.05.006<\/li>\n<li>Daskalaki D, Hakmi H, Stright A, Mitzman B, Mair ER, Joseph DK, Baltazar GA: Bullet embolization to the heart: a rare and confounding penetrating cardiac injury case report. Int J Surg Case Rep. 2020; 73:35-8. https:\/\/doi.org\/10.1016\/j.ijscr.2020.06.090<\/li>\n<li>Kaya A., Caliskan E., Tatlisu M.A., Hayiroglu M. I., Tekessin A.T., Cakilli Y., Avsar S., Oz A., Uzman O. A Retained Bullet in Pericardial Sac: Penetrating Gunshot Injury of the Heart. Case report in cardiology. 2016. https:\/\/doi.org\/10.1155\/2016\/2427681.<\/li>\n<li>Yoon B, Grasso S, Hofmann LJ: Management of bullet emboli to the heart and great vessels. Mil Med. 2018; 183:e307-13. https:\/\/doi.org\/10.1093\/milmed\/usx191<\/li>\n<li>Kawall T., Seecheran R.V., Seecheran V.K. &#8220;Shot to the Heart&#8221;: case report and concise review of cardiac gunshot injury. J Investig Med High Impact Case Rep. 2020;8. https:\/\/doi.org\/10.1177\/2324709620951652<\/li>\n<li>Grechanyk O.I. Radiological diagnostics of combat surgical trauma: dissertation of Dr. of Medical Sciences: 14.01.23 \/ National Military Medical Clinical Center &#8220;GVKG&#8221;. Kyiv, 2024. 594 p.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Ph.D., asst. Ruslan R. Abdullayev Kharkiv National Medical University, Department of Radiology and Radiology Gunshot wounds to the chest are often the cause of death. According to literature, about 90% of patients with penetrating chest wounds die before arriving at the hospital. The high mortality rate from chest injuries is due to damage to vital&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[60,133],"tags":[],"translation":{"provider":"WPGlobus","version":"2.12.2","language":"en","enabled_languages":["uk","en","ru"],"languages":{"uk":{"title":true,"content":true,"excerpt":false},"en":{"title":true,"content":true,"excerpt":false},"ru":{"title":false,"content":false,"excerpt":false}}},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts\/4325"}],"collection":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/comments?post=4325"}],"version-history":[{"count":4,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts\/4325\/revisions"}],"predecessor-version":[{"id":4496,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts\/4325\/revisions\/4496"}],"wp:attachment":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/media?parent=4325"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/categories?post=4325"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/tags?post=4325"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}