Life-Saving Emergency Trauma Surgery at Bombay Gastro & Cancer Institute, Bathinda
A 37-year-old male was brought to the emergency department after sustaining an alleged gunshot injury to the abdomen. He complained of severe abdominal pain, and clinical examination revealed marked abdominal guarding and signs of acute peritonitis, suggesting a serious internal abdominal injury.
An urgent contrast-enhanced CT scan demonstrated multiple bullet pellets lodged within the anterior abdominal wall and mesentery, along with pneumoperitoneum (free air inside the abdominal cavity), confirming a perforation of the small intestine and the need for immediate emergency surgery.
Emergency Surgical Management
The patient was immediately taken to the operating theatre, where Dr. Raman Garg, Consultant Surgical Gastroenterologist and Advanced GI, Laparoscopic & HPB Surgeon at Bombay Gastro & Cancer Institute, Bathinda, performed an emergency exploratory laparotomy.
During surgery, a jejunal perforation caused by the projectile was identified. The injured segment was repaired, and multiple retained bullet pellets were carefully removed from the mesentery. A systematic exploration of the entire abdominal cavity was carried out to exclude additional injuries to the stomach, intestines, colon, liver, spleen, pancreas, and other intra-abdominal organs before completing the procedure.
Postoperative Recovery
The patient recovered well following surgery.
- Excellent postoperative recovery.
- Oral diet resumed gradually.
- No wound infection or other major postoperative complications.
- Discharged in satisfactory condition on the 6th postoperative day.
Expert Emergency Gastrointestinal Surgery in Bathinda
Penetrating abdominal trauma due to gunshot injuries is a life-threatening surgical emergency. Even a small entry wound may conceal significant damage to the intestines or other abdominal organs. Rapid diagnosis, timely surgical intervention, and meticulous intraoperative exploration are essential to prevent complications such as generalized peritonitis, septic shock, internal bleeding, and organ failure.
This case highlights Dr. Raman Garg's expertise in managing complex gastrointestinal emergencies requiring immediate surgical intervention.
As one of the leading Surgical Gastroenterologists in Bathinda, Dr. Raman Garg specializes in the treatment of complex diseases of the stomach, intestine, colon, rectum, liver, gallbladder, bile ducts, pancreas, spleen, abdominal wall hernias, and gastrointestinal cancers. He also has extensive experience in emergency abdominal trauma surgery, perforation peritonitis, intestinal obstruction, complicated gallbladder disease, pancreatic surgery, colorectal surgery, and advanced minimally invasive gastrointestinal procedures.
Patients from Bathinda, Punjab, Haryana, Rajasthan, and neighbouring states regularly seek treatment from Dr. Raman Garg for complex gastrointestinal and hepatopancreatobiliary (HPB) conditions.
Why Choose Dr. Raman Garg?
- Experienced Surgical Gastroenterologist in Bathinda.
- Expertise in complex gastrointestinal and HPB surgery.
- Advanced laparoscopic and open gastrointestinal procedures.
- Emergency trauma and abdominal surgery.
- Evidence-based treatment with patient-centred care.
- Comprehensive management of gastrointestinal cancers and benign GI diseases.
Patient: 37-year-old Male
Diagnosis: Gunshot Injury Abdomen with Jejunal Perforation and Multiple Retained Bullet Pellets
Procedure Performed: Emergency Exploratory Laparotomy, Repair of Jejunal Perforation, and Removal of Bullet Pellets from the Mesentery
Operating Surgeon: Dr. Raman Garg, Surgical Gastroenterologist, Advanced GI, Laparoscopic & HPB Surgeon, Bombay Gastro & Cancer Institute, Bathinda
Outcome: Successful emergency surgery with an uneventful recovery and discharge on the 6th postoperative day.
About Dr. Raman Garg
Dr. Raman Garg is a Consultant Surgical Gastroenterologist, Advanced GI, Laparoscopic and HPB Surgeon at Bombay Gastro & Cancer Institute, Bathinda. He specializes in gastrointestinal cancer surgery, liver, pancreas and bile duct surgery, colorectal surgery, hernia surgery, upper GI surgery, emergency abdominal surgery, and advanced minimally invasive procedures.
Patient identity has been withheld to maintain confidentiality. This case is shared for educational purposes with appropriate consent and privacy safeguards.
