ObjectiveThe aim of this study was to analyze the various computed tomography findings
in penetrating chest trauma, as well as to determine the frequency and
extent of the lesions.Material and MethodsWe studied the computed tomography findings from 40 cases of penetrating
thoracic trauma, of which 35 (85.8%) were gunshot wounds and 5 (14.2%) were
caused by another type of weapon.ResultsPulmonary lesions were found in 39 cases (97.5%), manifesting as contusions
in 34 cases (85%), atelectasis in 8 (20%), lacerations in 1 (2.5%) and
hematomas in 1 (2.5%). Hemothorax was seen in 31 cases (77.5%), and
pneumothorax was seen in 22 cases (55%). Mediastinal lesions were observed
in 8 cases (20%), including mediastinal hematoma in 3 cases (7.5%),
hemopericardium in 3 (7.5%), and pneumomediastinum in 2 (5%). Diaphragmatic
rupture was seen in 2 cases (5%).ConclusionIn patients with penetrating thoracic trauma, computed tomography of the
chest is an important tool for characterizing the affected organs and
evaluating the path of injury, as well as the severity and extent of the
lesions. The images obtained are also useful in estimating the risk of death
and determining the best therapeutic approach.