Gunshot Wounds Causing Distal Arterial Bullet Embolisms
We report two cases involving small-caliber gunshot wounds to the chest with embolization of the bullet which complete occluding arterial circulation into the left lower extremity. A 30-years-old and 19-years-old men suffered gunshots wound to the thorax and abdomen with subsequent arterial embolism...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2022-04-01
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| Series: | Bulletin of Emergency and Trauma |
| Subjects: | |
| Online Access: | https://beat.sums.ac.ir/article_47558_0ca590f9f4d183b236df682c4897ad58.pdf |
| _version_ | 1819050038290022400 |
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| author | Mauricio Gonzalez-Urquijo Ernesto Cordoba-Chamorro Susan Moreno-Diaz Gabriel Mejia-Villate Mario Alejandro Fabiani |
| author_facet | Mauricio Gonzalez-Urquijo Ernesto Cordoba-Chamorro Susan Moreno-Diaz Gabriel Mejia-Villate Mario Alejandro Fabiani |
| author_sort | Mauricio Gonzalez-Urquijo |
| collection | DOAJ |
| description | We report two cases involving small-caliber gunshot wounds to the chest with embolization of the bullet which complete occluding arterial circulation into the left lower extremity. A 30-years-old and 19-years-old men suffered gunshots wound to the thorax and abdomen with subsequent arterial embolisms into their left legs. Image studies revealed the left popliteal and femoral arteries occlusion by the missiles. Arteriotomies were auspiciously performed to retrieve the projectiles along with Fogarty catheters thrombectomies which conclude successful outcomes. At a 6 and 36 months’ follow-up, the patients were doing well without any vascular associated complications. Bullet embolization of the arterial or venous systems is a rare complication of penetrating gunshot injuries with diagnostic and therapeutic challenges. This complication’s suspicion should rise when there is a gunshot injury without an exit wound and with sudden pain or ischemia in an extremity. Individualized treatment should be urgently performed to avoid irreversible damage to the affected area. |
| first_indexed | 2024-12-21T11:41:41Z |
| format | Article |
| id | doaj.art-ac8d5b48febd44869ac493f02a2c0795 |
| institution | Directory Open Access Journal |
| issn | 2322-2522 2322-3960 |
| language | English |
| last_indexed | 2024-12-21T11:41:41Z |
| publishDate | 2022-04-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Bulletin of Emergency and Trauma |
| spelling | doaj.art-ac8d5b48febd44869ac493f02a2c07952022-12-21T19:05:17ZengShiraz University of Medical SciencesBulletin of Emergency and Trauma2322-25222322-39602022-04-01102879110.30476/beat.2021.88434.120647558Gunshot Wounds Causing Distal Arterial Bullet EmbolismsMauricio Gonzalez-Urquijo0Ernesto Cordoba-Chamorro1Susan Moreno-Diaz2Gabriel Mejia-Villate3Mario Alejandro Fabiani4Tecnologico de Monterrey, School of Medicine and Health Sciences, Monterrey, Nuevo León, MéxicoNariño Cardiosurgical Unit, Bogota, ColombiaSanitas University Foundation, University Clinic, Bogota, ColombiaVascular Surgery Clinic, Colombia Clinic, Bogota, ColombiaTecnologico de Monterrey, School of Medicine and Health Sciences, Monterrey, Nuevo León, MéxicoWe report two cases involving small-caliber gunshot wounds to the chest with embolization of the bullet which complete occluding arterial circulation into the left lower extremity. A 30-years-old and 19-years-old men suffered gunshots wound to the thorax and abdomen with subsequent arterial embolisms into their left legs. Image studies revealed the left popliteal and femoral arteries occlusion by the missiles. Arteriotomies were auspiciously performed to retrieve the projectiles along with Fogarty catheters thrombectomies which conclude successful outcomes. At a 6 and 36 months’ follow-up, the patients were doing well without any vascular associated complications. Bullet embolization of the arterial or venous systems is a rare complication of penetrating gunshot injuries with diagnostic and therapeutic challenges. This complication’s suspicion should rise when there is a gunshot injury without an exit wound and with sudden pain or ischemia in an extremity. Individualized treatment should be urgently performed to avoid irreversible damage to the affected area.https://beat.sums.ac.ir/article_47558_0ca590f9f4d183b236df682c4897ad58.pdfblood vesselsarteriesembolismischemia |
| spellingShingle | Mauricio Gonzalez-Urquijo Ernesto Cordoba-Chamorro Susan Moreno-Diaz Gabriel Mejia-Villate Mario Alejandro Fabiani Gunshot Wounds Causing Distal Arterial Bullet Embolisms Bulletin of Emergency and Trauma blood vessels arteries embolism ischemia |
| title | Gunshot Wounds Causing Distal Arterial Bullet Embolisms |
| title_full | Gunshot Wounds Causing Distal Arterial Bullet Embolisms |
| title_fullStr | Gunshot Wounds Causing Distal Arterial Bullet Embolisms |
| title_full_unstemmed | Gunshot Wounds Causing Distal Arterial Bullet Embolisms |
| title_short | Gunshot Wounds Causing Distal Arterial Bullet Embolisms |
| title_sort | gunshot wounds causing distal arterial bullet embolisms |
| topic | blood vessels arteries embolism ischemia |
| url | https://beat.sums.ac.ir/article_47558_0ca590f9f4d183b236df682c4897ad58.pdf |
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