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Another servicemember with transtibial amputation represented in the Figure sustained penetrating injuries to the neck, chest, abdomen, and limbs that resulted in a nonoperative liver laceration, multiple enterotomies to the bowel, a large soft tissue defect to his dominant arm, and numerous retained metallic foreign bodies.
Enterotomies are often employed for enteroliths, foreign bodies, and impacted material removal [1,2].
Because children with biliary atresia have usually had prior abdominal surgery, operative blood loss and the risk of enterotomies are higher.