06/12/2021
An interesting case of gun shot injury. ( Dr Anshumali Misra / Dr Kanchana Batra )
Though there is no surgical feat , it is interesting because the bullet in the chest wall has not injured any major structure. This patient is extremely lucky. The bullet travelled through the scapula, fractured the second rib, travelled past pleura , below the subclavian vessels , punctured anterior intercostal muscles but not the vessels, and stopped in the deeper planes of the clavicular head of pectoralis major muscle. Went in with full preparation for GA, and CTVS team as stand by ( in case of intra op surprises ) , this bullet was removed under local anaesthesia with a 3 cm incision.
Post op MRI shows NO brachial plexus injury.
This patient is so lucky and God is great !!