Venous Embolization of a Lower Extremity Projectile
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Introduction :
Foreign body migration into the vasculature and subsequent embolization is a rare complication of both medical procedures and penetrating trauma. Endovascular filters, wires, and pins have been found to travel through the vasculature resulting in a variety of complications, including death [1]. In the case of penetrating trauma, the incidence of bullet migration into the vasculature is approximated at 0.3% [2]. While the morbidity associated with bullet emboli can be as high as 25% [3], the decision to retrieve bullets remains controversial.

Case :
A 20 year old male presented to the Emergency Department with gunshot wounds to both lower extremities and left upper arm. His Glasgow Coma Scale (GCS) on presentation was 15 and vital signs were within normal limits. Examination revealed three wounds in the proximal left upper extremity, two wounds in the proximal left lower extremity, and one wound in the proximal, medial right lower extremity. No metallic foreign bodies were identified radiographically in the bilateral lower extremities. A chest radiograph was obtained based on proximity of the wounds to the thoracic cavity and revealed two metallic foreign bodies. The first was near the left humeral head and the second was in the central mid-thoracic region (Figure 1)......

https://www.omicsgroup.org/journals/venous-embolization-of-a-lower-extremity-projectile-2165-7548.1000243.php?aid=40956
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