SECTION EDITOR: CARL E. BREDENBERG, MD
Author Affiliations: Department of
Surgical Oncology, John Wayne Cancer Institute at St John's Health
Center, Santa Monica, California (Dr Leung); and Division of Trauma
Surgery and Critical Care, Virginia Commonwealth University, Richmond
(Drs Goldberg and Ivatury).
A 21-year-old man presented to the emergency department after
gunshot wound to the right shoulder. His only concern was chest pain.
He denied any dyspnea. On examination, the patient appeared to have
no airway compromise and was hemodynamically stable. Physical examination
was remarkable for 2 penetrating wounds, one on his right shoulder
and one on his left shoulder. After administration of intravenous
contrast, computed tomography (CT) scan of the chest was performed
Figure 1. Computed tomography scan
of the chest.
A. Tracheal injury
B. Esophageal injury
C. Aortic injury
D. Subclavian artery injury
Leung AM, Goldberg SR, Ivatury R. Image of the Month—Quiz Case. JAMA Surg. 2013;148(3):295. doi:10.1001/jamasurg.2013.318a