• TEE is a necessary modality for diagnosing cardiac/thoracic bullet embolization. • In gunshot cardiac injury, lack of exit wound should raise suspicion for bullet embolization. • The bullet will appear as a hyperechoic structure on ultrasound imaging.
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http://dx.doi.org/10.1016/j.case.2021.08.001 | DOI Listing |
J Craniofac Surg
October 2024
School of Medicine, Wayne State University.
A pseudoaneurysm is an abnormal dilatation within the wall of a blood vessel due to the formation of a hematoma in the vessel wall after vessel injury. Because of the protective nature of the facial skeleton and the deep location of the lingual artery, the lingual artery pseudoaneurysm is rare. The authors report a case of a 20-year-old male who suffered multiple gunshot wounds, including to the mouth, presenting with immediate life-threatening injuries.
View Article and Find Full Text PDFMil Med
November 2024
Department of Cardiovascular Surgery, University of Health Sciences, Gulhane Training and Research Hospital, Ankara 06010, Turkey.
Intravascular shrapnel or bullet embolization after a gunshot injury is rare, with fewer than 200 cases reported over the past century. Military injuries typically have high energy transfer, making this phenomenon less prevalent. A 22-year-old military personnel presented with chronic leg ischemia resulting from arterial bullet embolization.
View Article and Find Full Text PDFJ Vasc Surg Cases Innov Tech
December 2024
Department of Surgery, George Washington University Hospital, Washington, DC.
Penetrating traumatic aortic injury (PTAI) is increasing in prevalence given the rise in firearm violence in the United States and is associated with significant morbidity and mortality. These injuries often result in hemorrhagic shock, with patients presenting in extremis or pulseless, traditionally requiring open approaches for repair. A rare but potentially devastating complication of firearm-related PTAI is bullet embolization.
View Article and Find Full Text PDFJ Trauma Inj
September 2024
Department of Emergency General Surgery, Trauma, Critical Care and Burns, Sarasota Memorial Health Care System, Sarasota, FL, USA.
J Surg Case Rep
September 2024
Northeast Ohio Medical University, College of Medicine, 4209 St., OH-44, Rootstown, OH 44272, United States.
Bullet embolism is a rare phenomenon where a bullet migrates from its original point of entry to a distant site within the body. This brief report describes a case of a bullet embolism entering the gastrointestinal (GI) tract through the posterior oropharynx. The patient initially presented with a gunshot wound to the left scapula, and the bullet was later identified in the GI tract.
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