Mobile intrapericardial bullet.

Patients with bullets in the pericardial sac without myocardial injuries are rare, and most commonly are associated with significant trauma. The diagnosis of an intrapericardial foreign body can be difficult. Its removal is always indicated because it prevents pericarditis, either sterile or infectious, with potential for other significant complications.

Video-assisted thoracoscopic removal of foreign bodies from the pleural cavity.

Video-assisted thoracoscopy is a minimally invasive surgical technique. It is the procedure of choice for the treatment of certain lung and pleural diseases. It has been increasingly used in the acute phase of thoracic trauma.