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Penetrating cardiac injury resulting in a bullet embolus: a case report.
J Trauma Inj
September 2024
Department of Emergency General Surgery, Trauma, Critical Care and Burns, Sarasota Memorial Health Care System, Sarasota, FL, USA.
Article Synopsis
- - Bullet embolism can occur as a complication of gunshot wounds from low-velocity bullets, as they may not exit the body but instead travel through blood vessels.
- - Once in the vascular system, a bullet can migrate and potentially cause serious issues like ischemia, infection risks, or blood clots.
- - The case presented involves a 72-year-old man who suffered a self-inflicted low-velocity gunshot wound that led the bullet to enter his heart and subsequently relocate to a vein in his pelvis, after which he declined further treatment.
Lost and found: a unique foregut gastrointestinal bullet embolism.
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.
View Article and Find Full Text PDFA shrapnel migration from a peripheral vein to the right ventricle: case report.
Eur Heart J Case Rep
September 2024
Department of Diagnostic Imaging, Rabin Medical Center, Beilinson Hospital, Tel Aviv University, Petah Tikva 49100, Israel.
Background: Foreign bodies that migrate into the heart may include medical devices dislodged from their original location or, rarely, external particles (shrapnel and other foreign bodies) that penetrate the vein, remain intraluminal, and migrate via the venous blood flow to the right heart. Most reported entry sites of these external foreign bodies were in the torso, thigh, or neck; none of them penetrated through a distal extremity of the body. We report a case where shrapnel was found in the right ventricle (RV) following penetrating injury to the hand.
View Article and Find Full Text PDFRetained bullets: to remove or not to remove? Lessons from two clinical scenarios with intracardiac bullet embolization.
J Surg Case Rep
September 2024
Northeast Ohio Medical University, College of Medicine, 4209 St., OH-44, Rootstown, OH 44272, United States.
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.
View Article and Find Full Text PDFWhere Is the Bullet? A Puzzling Case of an Untraceable Projectile in a Gunshot Injury.
Cureus
August 2024
Forensic Medicine and Toxicology, IQ City Medical College, Durgapur, IND.
In forensic examinations, gunshot injury cases can sometimes present unusual challenges. Typically, a gunshot injury involves an entry wound where the bullet penetrates the body and an exit wound where the bullet exits. If the bullet does not exit the body, it can often be recovered from the body cavity.
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