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Jang Gyu Cha 1 Article
Long-term Fistula Formation Due to Retained Bullet in Lumbar Spine after Gunshot Injury
Se Il Jeon, Soo Bin Im, Je Hoon Jeong, Jang Gyu Cha
J Trauma Inj. 2017;30(2):51-54.   Published online June 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.2.51
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AbstractAbstract PDF
We here report a case of long-term fistula formation due to bullet retention for 30 years in the lumbar spine after a gunshot injury, and describe its treatment. A 62-year-old male visited our hospital due to pus-like discharge from his left flank. The discharge had been present for 30 years, since his recovery from an abdominal gunshot injury. A spine radiography showed radiopaque material in the body of the third lumbar vertebra. Foreign body was removed using an anterolateral retroperitoneal approach. The postoperative course was uneventful. The patient was discharged 7 days after the operation and was followed-up for 8 months, during which time, the fistula did not reoccur. A bullet retained long term in the vertebral body may cause obstinate osteomyelitis and fistula formation. A fistula caused by a foreign body in the spine can be effectively treated by surgical removal.
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J Trauma Inj : Journal of Trauma and Injury