TY - JOUR T1 - Endovascular stent graft repair of an abdominal gunshot with liver and aortic injuries JF - Trauma Surgery & Acute Care Open DO - 10.1136/tsaco-2017-000116 VL - 2 IS - 1 SP - e000116 AU - Natesh Yepuri AU - Michael Costanza AU - Alex Helkin AU - Robert N Cooney Y1 - 2017/09/01 UR - http://tsaco.bmj.com/content/2/1/e000116.abstract N2 - After being shot in the abdomen with a small caliber gun, a 16-year-old boy was transported to the emergency department (ED) in a private vehicle. On arrival to the ED, he was pale, tachycardic, and hypotensive. Intravenous access was obtained, and 1 L of saline and 2 units of packed red blood cells were given to stabilize the patient. Abdominal examination showed a subxiphoid entrance wound with no signs of peritonitis. No exit wound or other significant physical examination findings were noted. Focused Assessment with Sonography for Trauma (FAST) examination was negative for pericardial fluid but positive for minimal intra-abdominal fluid. Chest radiograph was negative for hemothorax and pneumothorax.His vital signs remained stable so he was taken for CT imaging. CT scan (figure 1) showed a linear laceration of the left hepatic lobe with the bullet trajectory passing through the supraceliac aorta. Irregularity of the aortic wall and extensive retroperitoneal hemorrhage surrounding the aorta were concerning for aortic injury, but no contrast extravasation was noted. A L1 vertebral … ER -