Right hepatic vein bullet embolism: A case report.

Autor:	Pelosi RB; Division of Trauma and Acute Care Surgery from Hospital das Clínicas of the Faculty of Medicine of Ribeirão Preto (FMRP-USP), Brazil., Scarpelini S; Division of Trauma and Acute Care Surgery from Hospital das Clínicas of the Faculty of Medicine of Ribeirão Preto (FMRP-USP), Brazil., Godinho M; Division of Trauma and Acute Care Surgery from Hospital das Clínicas of the Faculty of Medicine of Ribeirão Preto (FMRP-USP), Brazil., Silva JEPMD; Division of Trauma and Acute Care Surgery from Hospital das Clínicas of the Faculty of Medicine of Ribeirão Preto (FMRP-USP), Brazil., Stracieri LDDS; Division of Trauma and Acute Care Surgery from Hospital das Clínicas of the Faculty of Medicine of Ribeirão Preto (FMRP-USP), Brazil., Motta DCPD; Division of Trauma and Acute Care Surgery from Hospital das Clínicas of the Faculty of Medicine of Ribeirão Preto (FMRP-USP), Brazil., Urbano G; Division of Trauma and Acute Care Surgery from Hospital das Clínicas of the Faculty of Medicine of Ribeirão Preto (FMRP-USP), Brazil., Pereira THS; Division of Trauma and Acute Care Surgery from Hospital das Clínicas of the Faculty of Medicine of Ribeirão Preto (FMRP-USP), Brazil., Muller R; Division of Trauma and Acute Care Surgery from Hospital das Clínicas of the Faculty of Medicine of Ribeirão Preto (FMRP-USP), Brazil., Carnesecca Sobrinho JL; Division of Trauma and Acute Care Surgery from Hospital das Clínicas of the Faculty of Medicine of Ribeirão Preto (FMRP-USP), Brazil., Benfatti GCS; Division of Trauma and Acute Care Surgery from Hospital das Clínicas of the Faculty of Medicine of Ribeirão Preto (FMRP-USP), Brazil., Morato MQ; Division of Trauma and Acute Care Surgery from Hospital das Clínicas of the Faculty of Medicine of Ribeirão Preto (FMRP-USP), Brazil., Covre BCB; University Center Estácio de Sá of Ribeirão Preto, Faculty of Medicine (IDOMED), Brazil.
Jazyk:	angličtina
Zdroj:	Trauma case reports [Trauma Case Rep] 2023 Nov 21; Vol. 49, pp. 100975. Date of Electronic Publication: 2023 Nov 21 (Print Publication: 2024).
DOI:	10.1016/j.tcr.2023.100975
Abstrakt:	Penetrating trauma is usually divided into stab and gunshot wounds (GSW). When considering GSW, the initial assessment involves the identification of all the wounds, to understand the projectile's trajectory as well as to determine which anatomic structures might have been damaged [1]. Rarely, the projectile might not leave the victim's body and embolize to a different region through large blood vessels. Known as Missile Embolism (ME), this uncommon complication can compromise multiple body segments, resulting in severe injuries, whether it occurs through an artery or a vein, such as pulmonary embolism, cardiac-valve incompetence, limb-threatening ischemia, coronary infarct, and stroke [2,3]. This is a case report of an 18-year-old male patient who suffered a gunshot wound and was submitted to an exploratory laparotomy which identified a laceration of the inferior vena cava. Further exams concluded that the bullet was embolized to the right hepatic vein. ME treatment will depend mostly on the bullet's placement; if located in the left circulation or arterial vessels, retrieval is the preferred treatment. It can be executed through surgical exploration or endovascular procedure [3,4,8] Venous ME has several treatment options, including conservative management if the patient remains asymptomatic [[3], [4], [5], [6], [7]]. Cases of paradoxical embolization might be managed as arterial ME [3,4]. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2023 The Authors.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu