Retrograde venous bullet embolism after thoracic gunshot

Leonardo Pessoa Cavalcante; Marcos Velludo Bernardes; Ricardo Dias da Rocha; Marcos Henrique Parisati; Jose Emerson dos Santos Souza; Antonio Oliveira de Araujo; Patricia de Souza Lacerda; Raquel Magalhaes Pereira

doi:10.1590/jvb.2013.061

case report

Retrograde venous bullet embolism after thoracic gunshot

Leonardo Pessoa Cavalcante; Marcos Velludo Bernardes; Ricardo Dias da Rocha; Marcos Henrique Parisati; Jose Emerson dos Santos Souza; Antonio Oliveira de Araujo; Patricia de Souza Lacerda; Raquel Magalhaes Pereira

http://dx.doi.org/10.1590/jvb.2013.061 J Vasc Bras, vol.12, n4, p.324-328, 2013

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Abstract

Bullet embolism is a rare complication of penetrating gunshots. We present a case of a 24-year-old man with a gunshot wound in the left scapular area, with no exit wound. Abdominal X-rays and a computed tomography (CT) scan suggested that the bullet was located within the intra-abdominal topography (intrahepatic), but laparotomy revealed no intra-abdominal injuries. After surgery, a sequential CT scan showed that the bullet had migrated to the right internal iliac vein (IIV). Venography confirmed the diagnosis of right IIV embolism and the decision was taken to attempt snare retrieval of the bullet, which was unsuccessful. It was therefore decided to leave the missile impacted inside the right IIV and the patient was put on oral anticoagulation. The patient recovered and was event free at 6 months' follow up.

Keywords

wounds, gunshot, embolism, tomography, phlebography, iliac vein

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Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">

Retrograde venous bullet embolism after thoracic gunshot

Leonardo Pessoa Cavalcante; Marcos Velludo Bernardes; Ricardo Dias da Rocha; Marcos Henrique Parisati; Jose Emerson dos Santos Souza; Antonio Oliveira de Araujo; Patricia de Souza Lacerda; Raquel Magalhaes Pereira

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