Arterial bullet embolism after thoracic gunshot wound

Arterial bullet embolism after thoracic gunshot wound

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Abstract Bullet embolization of the arterial or venous systems is a rare complication of penetrating gunshot injuries.A 29-year-old man presented at the emergency department with a gunshot wound to the left arm, which had transfixed the arm and entered the thorax, asus x 515 with no exit wound.Initial radiographies showed a projectile in the upper left thigh.

Contrast-enhanced tomography showed a pseudo-aneurysm of the descending thoracic aorta and the bullet inside the proximal left superficial femoral artery.Physical examination baby lock spirit embroidery machine price found diminished left pedal pulses, and the patient complained of left toe numbness.Endovascular thoracic aortic pseudoaneurysm repair was performed, sealing the descending aortic orifice with an endograft, and thromboembolectomy/bullet retrieval was carried out via a left femoral incision, both successfully.

Considering that diagnosis of missile emboli depends on a high degree of suspicion, physicians who manage gunshot wound patients must be acutely aware of the possibility of intravascular bullet embolism.