Bullet emboli to the systemic and venous circulation

Abstract

The rarity of bullet emboli leads to frequent delays in diagnosis and inadequate early management. Our 8, 1986. O n admission to the emergency department his blood pressure was 110/65 mm Hg, heart rate 66 beats/min, respiratory rate 10 breaths/rnin. He was obtunded and underwent an immediate endotracheal intubation. No exit wound or other gunshot wound was detected. The initial x-ray film of the chest showed a bullet overlying the lower right lobe, and a right thoracostomy tube was inserted for a presumed injury to the diaphragm and right side of the chest (Fig. 1).Exploration of the abdomen revealed that the bullet had traveled cranio-caudally through the transverse mesocolon, injuring a loop of small bowel and entering the retroperito- SURGERY 239Br.

Pellet Embolization after Subclavian Artery Injury: A Case Report

“…Asymptomatic arterial and venous embolus by foreign body removal should be considered individually, according to the risk of possible displacement and further embolization [15]. We Complications after penetrating extremities injuries are devastating.…”

Spontaneous migration of bullet from arm to forearm and its ultrasound guided removal

“…against the blood flow) bullet migration in the venous system, although exceedingly rare, has also been reported. Michelassi et al [8] reported that the probability of retrograde venous migration is about 15 %, with possible migration from venous system to arterial system, typically as a result of arteriovenous fistula, ventricular septal defect, or atrial septal defect.…”

Embolia arterial periférica por projétil de arma de fogo em civis: diagnóstico confirmado pelo ultrassom vascular

“…Even though it has been described since 1834 by Thomas Davis 1 , arterial embolism caused by a projectile is rare in cases of trauma, especially in combat situations. The frequency of these cases during the Vietnam war is usually described as 0.3% of the arterial trauma cases 1 . However, the reports were referred to arterial embolism caused by explosive debris, (0.25% of arterial trauma cases), and these were caused by a projectile, which results in the frequency of 0.04% when it comes to arterial trauma.…”

“…Peripheral arterial embolism caused by firearm bullets (cardio arterial or arterio-arterial) is very rare 1 . To become an embolus, the bullet must penetrate the vessel lumen or the heart with only enough energy to cross one of the walls into the vessel, atrium or ventricle.…”