Firearm-related injuries in the USA are increasing, with over 105,000 cases annually. Gunshot wounds (GSWs), especially those involving retained bullets, present complex challenges due to bullet trajectories and embolization risks. This study reviews two cases of bullet emboli, focusing on bullet localization strategies and timing of removal. Imaging techniques such as chest X-ray, CT scan, intraoperative fluoroscopy, and transesophageal echocardiogram were employed for localization. In Case 1, a stable patient with a left-back GSW had a bullet embolism from the inferior vena cava to the right ventricle, necessitating prompt removal. In Case 2, an unstable patient with thoracoabdominal GSWs experienced a delayed embolism to the aortic root, requiring multiple surgeries. Effective management of retained bullets involves diverse imaging and timely surgical intervention, especially for stable patients, emphasizing individualized and proactive strategies to enhance outcomes in bullet embolization cases.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11410386 | PMC |
| http://dx.doi.org/10.1093/jscr/rjae584 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Diagnostic Challenges in Uncommon Firearm Injury Cases: A Multidisciplinary Approach.
Diagnostics (Basel)
December 2024
Faculty of Medicine and Surgery, "Kore" University of Enna, 94100 Enna, Italy.
: Firearm wounds tend to have a precise pattern. Despite this, real-world case presentations can present uncertain elements, sometimes deviating from what is considered standard, and present uncommon features that are difficult for forensic pathologists and ballistic experts to explain. : A retrospective analysis of autopsy reports from the Institute of Legal Medicine, University of Catania, covering 2019-2023, included 348 judicial inspections and 378 autopsies performed as part of the institute's overall activities.
View Article and Find Full Text PDFA shot through the heart: a case report on retained bullet causing cardiac tamponade.
Eur Heart J Case Rep
December 2024
Department of Cardiology, DMC/Harper University Hospital, 3990 John R St, Detroit, MI 48201, USA.
Background: As a rare complication of penetrating chest trauma, one can occasionally find foreign bodies inside the pericardium. Even rarer is finding an intact bullet inside the pericardial cavity following the gunshot injury.
Case Summary: A 17-year-old male presented to the emergency department as a Level 1 trauma for multiple gunshot wounds.
Retained Foreign Body in the Breast Following a Motor Vehicle Collision: A Case Report.
Case Rep Surg
September 2024
Breast Surgical Oncology, Department of General Surgery, Stanford University School of Medicine, Stanford, California, USA.
Unintentionally retained foreign bodies in the breast are a rare phenomenon. Most reported cases are iatrogenically derived from surgeries and procedures. Only a handful of reported cases refer to noniatrogenic causes, including bullets, a sewing needle, and a headscarf pin.
View Article and Find Full Text PDFUnusual Migration of Bullet from the Right Scalp to Left Pyriform Fossa.
Indian J Otolaryngol Head Neck Surg
October 2024
Taylors University, Subang Jaya, Malaysia.
Article Synopsis
- Spontaneous migration of retained bullets is uncommon, but it can lead to them being found far from the original wound site, as seen in a case involving a 17-year-old female.
- After being shot in the right temporal region 12 years prior, she experienced discomfort in her neck, leading to the discovery of the bullet near the left pyriform fossa through laryngoscopy and imaging.
- The bullet was successfully removed using a transoral CO2 laser microsurgery technique, demonstrating that bullets can unexpectedly migrate and how they can be treated effectively.
Risk factors for fracture-related infections after low-velocity gunshot fractures to the pelvis.
Injury
November 2024
Division of Trauma and Critical Care, Medical College of Wisconsin, 8701 Watertown Plank Rd. Milwaukee, WI 53226, United States. Electronic address:
Background: Although treatments have improved dramatically in recent years, mortality following gunshot wounds (GSW) to the pelvis continue to range between 3 and 20 %. This project was designed to determine the incidence and risk factors associated with pelvic fracture-related infection (FRI) following GSWs to the pelvis given the paucity of evidence regarding this complication.
Methods: A retrospective review of 13 years (1/2010-12/2022) of patients with GSW to the pelvis was performed.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!