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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