Intrathoracic Complications and Difficult Treatment Journey Resulting from Gunshot Wound 40 Years Ago


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Karcı E., Mutlu F., Karaçam V., Şanlı A.

Türkiye Klinikleri Journal of Case Reports, cilt.34, ss.1-6, 2025 (Hakemli Dergi)

Özet

 A patient who underwent parenchymal repair with a thoracotomy due to a close-range shotgun wound to the left anterior chest wall 40 years ago was recommended for surgery due to suspicious lesions showing a mass and abscess-like formation in the lung when he presented with a cough complaint. During the surgery, sponge material from the previous procedure was identified, and primary parenchymal repair was performed. Later, resistant empyema and bronchopleural fistula were observed. Therefore, a destroyed lung developed, and a left pneumonectomy was required. In this article, we aimed to describe our case in which a small perioperative carelessness led to vital organ loss and a long and difficult treatment process, and the successful treatment process.