The Eurasian

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Journal of Medicine

EAJM 2013; 45:71-2

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A Giant Foreign Body due to Rocket Explosion Roket Patlamasina Bagli Büyük Bir Yabanci Cisim Fatih HIkmet Candas', Bulent Karslioglu^ Yusuf Emrah Eyi^ Onur Sildiroglu'' 'Department ^Department ^Department 'Department

ofThoracic Surgery, Hakkari Military iHospitai, iHakkari,Turkey of Orthopeadic Surgery, Hakkari Miiitary Hospital, Hakkari,Turkey of Emergency Medicine, Hakkari Military Hospital, Hakkari,Turkey of Radiology, Hakkari Military Hospital, Hakkari, Turkey

A 25-year-old soldier presented to the emergency department with a right scapular injury caused by a rocket explosion during a terrorist attack. The attack occurred while the patient was driving an armored vehicle. Upon physical examination, a skin and muscular defect measuring 5x1.5 cm in the right scapular region near the shoulder was observed. A right shoulder roentgenogram revealed a giant metallic foreign body measuring 11x2.5 cm, which was parallel

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to the humérus (Figure 1). The right humérus was intact. A lung roentgenogram presented normal findings. Doppler ultrasonography indicated no vascular injury to the affected site. The patient underwent surgery, and the metallic foreign body was removed from the body (Figure 2). The patient was discharged after a 2-day hospital stay. The shape of this type of injury is generally related to the weight, type and power of the explosive. In this case, the

Figure Í. A right shoulder roentgenogram revealed a giant metallic for- Figure 2. The foreign body was removed from the patient's body via a eign body and small pieces of shrapnel between the humérus and scapula.3-cm surgical incision.

Received: October 25, 2012 / Accepted: November 17, 2012 Correspondence to: Yusuf Emrah Eyi, Department of Radiology, Hakkari Military Hospital, Hakkari, Turkey Phone: +90 532 582 28 02 e-mail: [email protected] dol:10.5152/eajm.2013.15

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Candas et al. A Giant Foreign Body due to Rocket Explosion

roeket shrapnel was extraordinarily large, but the injury itself was not particularly harmful. A search of related literature indicated that extremity injuries are observed in over 70% of all rocket- and missile-related injuries, with the upper extremity injured in 35% of all injuries of this type [1,2]. Conflict of interest statement: The authors declare that they have no conflict of interest to the publication of this article.

EAJM 2012; 45:71-2

References Ramasamy A, Harrisson SE, Stewart MP, Midwinter M. Penetrating missile injuries during the Iraqi insurgency. Ann R Coll Surg EngI 2009; 91: 551-8. Ramasam, A, Hinsle, DE, Edwards DS, Stewart MP, Midwinter MJ, Parker PJ. Skillsets and competencies for the modern military surgeon: lessons from UK military operations in southern Afghanistan. Injury 2010; 41: 453-9.

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