SciELO - Scientific Electronic Library Online

vol.47 número1Stated content of fats, sodium, sugars and sweeteners in nutritional labeling of sweets, salty snacks and in selected non-alcoholic sweet drinksProgressive ossifying fibrodysplasia. Case report and literature review índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados




  • Não possue artigos citadosCitado por SciELO

Links relacionados

  • Não possue artigos similaresSimilares em SciELO


Pediatría (Asunción)

versão On-line ISSN 1683-9803


TEME LICHI, Claudia et al. Cervical trauma due to firearms in pediatrics: a case report. Pediatr. (Asunción) [online]. 2020, vol.47, n.1, pp.39-43. ISSN 1683-9803.


Pediatric cervical gun injuries have a low incidence, approximately 5 to 10%, with a mortality of 0 to 11%.

Clinical Case:

a 13-year-old male patient who presented with trauma to the face, neck and thorax due to accidental firearm injury (shotgun) with the following diagnoses: Facial trauma: fracture of the upper and lower jaw; Neck trauma: C4 / C7 vertebral body injury with embedded pellets; Chest trauma: right pulmonary contusion; Soft tissue trauma: embedded pellets in subcutaneous soft tissue. He was admitted to the Trauma hospital in hypovolemic shock, presenting almost immediate cardiorespiratory arrest, which responded to advanced cardiopulmonary resuscitation. CT scan of the skull was normal at admission; on the 8th day it showed evident splintering in the basal venous system; CT of the neck: tracheal displacement and evident peri-tracheal air; Angio CT: pseudoaneurysm in left internal carotid artery. Fibrobronchoscopy: bruises at the tracheal level; EDA: esophagus and stomach with fibrin-covered erosions without evidence of fistula or hollow viscera perforation. Treatment: on Mechanical Respiratory Assistance (MRA) for 10 days; inotropes for 72 hours, internal carotid artery repair was performed, Erich arch placement by maxillofacial surgeons. He was discharged to the pediatric ward with favorable evolution.

Palavras-chave : Firearm; trauma; pediatrics; vascular lesions.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )