A teenage boy presented to the emergency department with an accidental self-inflicted airgun injury to his perineum. Examination showed a small entry wound in the scrotal skin and the testes were normal. X-ray of the pelvis showed the pellet in the perineum without definite localization. Perineal sonography was performed preoperatively, which precisely localized the pellet in the perineal soft tissues for easy exploration and removal.
Shaw Mdm, Galbraith S.: Penetrating airgun injuries of the head. Br J Surg1977;64:221−224.
4.
Burkitt DS, Dhasmana JP, Mortensen NJ, Wisheart JD: “ Bullet embolism” to the popliteal artery following air rifle injury of the thoracic aorta. Br J Surg1984;71:61.
5.
Hindle KS, Patel H., Huang A.: A puzzle: where was the airgun pellet?J Royal Soc Med2000;93:806.
6.
Massad M., Slim MS: Intravascular missile embolisation in childhood: report of a case, literature review, and recommendations for management. J Paediatr Surg1990; 25:1292−1294.
7.
Oikarinen KS , Nieminen TM, Makarinen H., Pyhtinen J.: Visibility of foreign bodies in soft tissue in plain radiographs, computed tomography, magnetic resonance imaging, and ultrasound: an in vitro study. Int J Oral Maxillofac Surg1993;22:119−124.
8.
Staudte KL, Hooper BJ, Gibson NR, Read RA: Use of sonography to facilitate surgical removal of non-enteric foreign bodies in 17 dogs. J Small Anim Pract2004;45: 395−400.
9.
Makdissi J.: Ultrasound guided removal of an airgun pellet from the temporal fossa: a technical note. Int J Oral Maxillofac Surg2004;33:304−306.
10.
Hedrick WR, Hykes DL, Starchman DE: Basic Ultrasound Physics: Ultrasound Physics and Instrumentation. 3rd ed. St Louis, MO, Mosby, 1995.
11.
Bonatti H., Lugger P., Hechenleitner P., et al: Transperineal sonography in anorectal disorders [in German] . Ultraschall Med2004;25:111−115.
12.
Shiels WE, Babcock DS, Wilson JL, Burch RA: Localization and guided removal of soft-tissue foreign bodies with sonography . Am J Roentgenol1990;155:1277−1281.
