Renal cell carcinoma (RCC) is the most common type of renal malignancy in adults. Bone is a major site of metastatic disease from RCC. Osseous metastatic disease from RCC is often seen in the spine, pelvis, and femur, and is usually hypervascular in nature like its primary tumor source. This can cause significant pain, reduced function, pathological fracture, nerve compression, and decreased quality of life during cancer treatment and disease course. Surgical treatments for pathological fracture of the femur include resection, reconstruction, and stabilization with arthroplasty or placement of an intramedullary nail. This series looks at three cases of renal cell carcinoma metastases to the hip with pre-procedural embolization and orthopedic stabilization. Interventional radiology embolization of the arterial supply to the metastatic hypervascular bone lesions can reduce intraoperative blood loss and associated complications.

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Bullet embolism is a relatively uncommon complication of gunshot injuries. Migration of bullets through bodily vessels presents unique clinical challenges and can lead to infection, thrombosis, ischemia, hemorrhage, and death. Potential lack of early symptoms leads to delayed or missed diagnosis and often-inadequate early management can potentially result in the loss of extremities or life. In this paper is presented an unusual case in which a stray bullet to the posterior aspect of the left side of the chest penetrated the thoracic cavity and traveled to the left femoral artery through the left ventricle, embolizing the vessel. The bullet was surgically removed from the left common femoral artery.

Bullet embolism is a relatively uncommon complication of gunshot injuries. Migration of bullets through bodily vessels presents unique clinical challenges and can lead to infection, thrombosis, ischemia, hemorrhage, and death. Potential lack of early symptoms leads to delayed or missed diagnosis and often-inadequate early management can potentially result in the loss of extremities or life. In this paper is presented an unusual case in which a stray bullet to the posterior aspect of the left side of the chest penetrated the thoracic cavity and traveled to the left femoral artery through the left ventricle, embolizing the vessel. The bullet was surgically removed from the left common femoral artery.