Presentation
Erectile dysfunction for 1 month. Previous history of remote gunshot injury 1 year back.
Patient Data
Age: 40 years
Gender: Male
From the case:
Gunshot injury
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Vertically oriented bullet is seen within the spinal canal anteriorly at the L4/L5 disc and L5 vertebral level compressing on the thecal sac and traversing nerve roots.
Another smaller metallic fragment is seen posterior to the S1 vertebra.
A defect in the right lamina at the L4 level is likely from bullet trajectory.
Case Discussion
The following are things to consider while evaluating gunshot injury:-
trajectory or path encountered by identifying the bony defect, hemorrhage, and gas along the tract
injury to critical structures like visceral organs and major vascular channels
additional fragments
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