Introduction: The purpose of this study was to determine the role of medical imaging in the management of ballistic trauma in the experience of the Burkina Faso Army Health Service. Methods: This was a retrospective, prospective, cross-sectional study of 54 cases of ballistic trauma that occurred in Burkinabe military personnel on Burkinabe territory between January 2016 and October 2019 and were managed by the Burkina Faso Army Health Service. Results: The mean age of the ballistic trauma victims was 28.9 years. The patients were all male. Multiple injuries were present in 19% of cases. The limbs were predominantly affected, followed by the trunk. Medical imaging was used both for the initial assessment and for the search for complications and follow-up after treatment. Standard radiography was the most commonly used modality followed by CT scan, particularly for the search for visceral lesions or for a more precise bone assessment. Ultrasound (E. FAST) was sometimes used. Magnetic resonance imaging was rarely used because of the ferromagnetic projectiles often present in ballistic trauma patients. Conclusion: Medical imaging has an important place in the management of military ballistic trauma.
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