Retrograde venous bullet embolism after thoracic gunshot
| Autor: | Raquel Magalhães Pereira, Antônio Oliveira de Araújo, Patricia de Souza Lacerda, Ricardo Dias da Rocha, Leonardo Pessoa Cavalcante, Marcos Henrique Parisati, José Emerson dos Santos Souza, Marcos Velludo Bernardes |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_treatment embolia Venography lcsh:Surgery Poison control tomografia Laparotomy medicine Right internal iliac vein Scapular area medicine.diagnostic_test business.industry flebografia lcsh:RD1-811 medicine.disease Surgery Embolism lcsh:RC666-701 ferimentos por arma de fogo Radiology Gunshot wound Cardiology and Cardiovascular Medicine Complication business veia iliaca |
| Zdroj: | Jornal Vascular Brasileiro, Vol 12, Iss 4, Pp 324-328 (2013) |
| ISSN: | 1677-7301 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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