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Radiological findings in bullgore injury
Abstract ID- IRIA - 1212
Background The Bull
docile
easily domesticated animal
sometimes become angry for no obvious reason
Bull horn lesions are frequent in the Latin World due to spectacles involving these animals.
These wounds have special characteristics that distinguish them from other lesion.
Goring is described a single injury by many researchers.
but it is “a mix of lacerated wound, contusion and infection”
The wounds produced vary from Contusions
Lacerations
Penetrating wounds involving internal organs to fractures
In India, Bullgore injuries are frequently observed in villages.
Incidences related to deaths from bullgore are infrequently seen in Metropolitan cities.
Aims and objectives
To study the radiological findings
pattern of distribution in patients presenting with bullgore injuries in our institution.
Materials and Methods Type of study- A retrospective study
Our database CHIPS
PACS, GE.
Keyword search used. Bullgore
Bull injury
Inclusion criteria: All patients who presented with bullgore injury to our institution
Patients who underwent imaging modality with positive findings
Time frame: 2001- April, 2014
Results Total number of patients
: 172
Number of patients who underwent radiological investigation: 157
Number of patients with positive findings : 70
Investigation No of patients
Chest Radiograph 69
Abdomen and pelvis Radiograph 57
Neck Radiograph 34
Upper extremity Radiograph 3
Lower extremity radiograph 11
Ultrasound abdomen 33
Endo-anal ultrasound 2
Ultrasound scrotum 3
Doppler carotid 1
CT brain 20
CT abdomen 2
CT orbit/neck 7
CT thorax 2
CT angiography 1
CT leg 1
Only 32 patients presented to our institution during "Jallikattu" An event of taming bulls, which is organized as a part of Pongal - a festival of the
harvest season which is celebrated across Tamil Nadu, India.
One death was recorded in our institution records.
Discussion In spite of urbanization, millions of injuries and hundreds of deaths occur as
the result of animal attacks all over the world.
Although their rate is very low among all injuries, they tend to be serious.
These are frequent type of injury in Spain and South American countries.
In India commonly seen during “Jallikattu”
The horn of bull long,
curved directed forwards with smooth tapering ends .
Knowledge of the mechanism of injury by bull horns is important to appreciate the complexity of these wounds
Bull charges
lowers its head by
neck flexion
extends its neck
powerfully
Force being applied at the
point of entry of the sharp horn =
M x A
Continues neck extension
The subject is raised violently off the ground
tosses its head in a circular
movement
further shearing
primary bull-goring injury femoral vascular
inguinal
abdominal and genitourinary injury
secondary injury head and neck injury
Conclusion Bullgore injuries continue to be an ignored entity.
They can present from simple injury to high velocity impact injury.
Knowledge of mechanism helps in overall management.
With present data we would hypothesize stray cattle menace for the most common cause for bullgore injuries.
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