Journal of Medical Case Reports (May 2022)

Simultaneous retrograde venous and anterograde arterial bullet embolism: a case report

  • Ahmad Hosseinzadeh,
  • Mohammad Moeini Farsani,
  • Mohamad Mahdi Mahmoudi,
  • Ahmadreza Hekmatnia,
  • Meghdad Ghasemi Gorji,
  • Majid Asnaashari,
  • Hamed Ghoddusi Johari,
  • Reza Shahriarirad

DOI
https://doi.org/10.1186/s13256-022-03414-7
Journal volume & issue
Vol. 16, no. 1
pp. 1 – 5

Abstract

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Abstract Background Bullet embolus is a rare condition following gunshot injuries and represents a clinical challenge regarding both diagnosis and management. Case presentation We report the case of a 35-year-old Iranian (Middle-Eastern) male patient with a shotgun injury to both buttocks, which traveled to the heart and the popliteal area through the femoral vein and superficial femoral artery, respectively. Surgical intervention was applied for the popliteal pellet, and the patient was discharged without further complications. Conclusion Although bullet emboli can be a clinical challenge, with the advent of modern procedures, removal has become safer. X-ray, computed tomography, and transthoracic and/or transesophageal echocardiography may be used as adjuncts to help establish the diagnosis.

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