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

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 tra...

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Main Authors: Ahmad Hosseinzadeh, Mohammad Moeini Farsani, Mohamad Mahdi Mahmoudi, Ahmadreza Hekmatnia, Meghdad Ghasemi Gorji, Majid Asnaashari, Hamed Ghoddusi Johari, Reza Shahriarirad
Format: Article
Language:English
Published: BMC 2022-05-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-022-03414-7
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author Ahmad Hosseinzadeh
Mohammad Moeini Farsani
Mohamad Mahdi Mahmoudi
Ahmadreza Hekmatnia
Meghdad Ghasemi Gorji
Majid Asnaashari
Hamed Ghoddusi Johari
Reza Shahriarirad
author_facet Ahmad Hosseinzadeh
Mohammad Moeini Farsani
Mohamad Mahdi Mahmoudi
Ahmadreza Hekmatnia
Meghdad Ghasemi Gorji
Majid Asnaashari
Hamed Ghoddusi Johari
Reza Shahriarirad
author_sort Ahmad Hosseinzadeh
collection DOAJ
description 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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spelling doaj.art-53688855f4c94a6d8f305dfd02bb36842022-12-22T00:30:57ZengBMCJournal of Medical Case Reports1752-19472022-05-011611510.1186/s13256-022-03414-7Simultaneous retrograde venous and anterograde arterial bullet embolism: a case reportAhmad Hosseinzadeh0Mohammad Moeini Farsani1Mohamad Mahdi Mahmoudi2Ahmadreza Hekmatnia3Meghdad Ghasemi Gorji4Majid Asnaashari5Hamed Ghoddusi Johari6Reza Shahriarirad7Department of Vascular Surgery, Shiraz University of Medical ScienceDepartment of Vascular Surgery, Shiraz University of Medical ScienceDepartment of Vascular Surgery, Shiraz University of Medical ScienceDepartment of Surgery, Faculty of Medicine, Bushehr University of Medical SciencesDepartment of Vascular Surgery, Shiraz University of Medical ScienceDepartment of Vascular Surgery, Shiraz University of Medical ScienceDepartment of Vascular Surgery, Shiraz University of Medical ScienceThoracic and Vascular Surgery Research Center, Shiraz University of Medical SciencesAbstract 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.https://doi.org/10.1186/s13256-022-03414-7GunshotEmbolismHeartFemoral veinFemoral arteryVenous system
spellingShingle Ahmad Hosseinzadeh
Mohammad Moeini Farsani
Mohamad Mahdi Mahmoudi
Ahmadreza Hekmatnia
Meghdad Ghasemi Gorji
Majid Asnaashari
Hamed Ghoddusi Johari
Reza Shahriarirad
Simultaneous retrograde venous and anterograde arterial bullet embolism: a case report
Journal of Medical Case Reports
Gunshot
Embolism
Heart
Femoral vein
Femoral artery
Venous system
title Simultaneous retrograde venous and anterograde arterial bullet embolism: a case report
title_full Simultaneous retrograde venous and anterograde arterial bullet embolism: a case report
title_fullStr Simultaneous retrograde venous and anterograde arterial bullet embolism: a case report
title_full_unstemmed Simultaneous retrograde venous and anterograde arterial bullet embolism: a case report
title_short Simultaneous retrograde venous and anterograde arterial bullet embolism: a case report
title_sort simultaneous retrograde venous and anterograde arterial bullet embolism a case report
topic Gunshot
Embolism
Heart
Femoral vein
Femoral artery
Venous system
url https://doi.org/10.1186/s13256-022-03414-7
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