Huebner Stephen, Ali Sayed
Department of Radiology, Temple University Hospital, Philadelphia, PA 19140, USA.
J Radiol Case Rep. 2012 Apr;6(4):1-10. doi: 10.3941/jrcr.v6i4.940. Epub 2012 Apr 1.
Intravascular migration of bullets and other foreign bodies is a rare but known complication of penetrating trauma. Missile embolization can represent a diagnostic challenge because it may present in various and unexpected ways. We present the case of a 54-year-old female who sustained shotgun pellet emboli to the pulmonary arteries following a left upper extremity gunshot wound and related vascular surgery. The case illustrates bilateral embolization, and the embolic events occurred following surgery. Embolization should be considered in evaluating patients with gunshot wounds, particularly if there are anomalous symptoms or the projectile is not found in the original, or expected, location. Close attention to the location of the foreign bodies on serial radiographs may reveal the diagnosis of intravascular embolization.
子弹及其他异物的血管内迁移是穿透性创伤一种罕见但已知的并发症。导弹栓塞可能带来诊断挑战，因为其表现形式多样且出人意料。我们报告一例54岁女性病例，该患者在左上肢枪伤及相关血管手术后发生肺动脉霰弹枪子弹栓塞。该病例显示为双侧栓塞，且栓塞事件发生在手术后。在评估枪伤患者时应考虑到栓塞情况，尤其是出现异常症状或在初始或预期位置未发现投射物时。密切关注系列X光片上异物的位置可能有助于诊断血管内栓塞。
