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Transmediastianal gunshot wounds

Navsaria, P, Pradeep trauma-list@trauma.org
Thu, 13 Jun 2002 12:34:52 +0200 

Dear All - something clinical and practical for a change

We routinely perform aortogram and oesophagogram, and u/s heart
on all stable patients with transmediastinal gunshot wounds.

Is there any center out there that uses CT chest  routinely to screen 
patients that may require angiography and swallow - looking at the  
tract of the bullet?

We see approximately 6-8 patients per month - sometimes more. We 
do have a spiral CT in the trauma unit.

Thank you for your response in advance.

Regards

Pradeep Navsaria FCS(SA)
General Trauma Surgeon
Trauma Unit
Cape Town 
South Africa