子弹自手臂自发迁移至前臂及其超声引导下的取出
Spontaneous migration of bullet from arm to forearm and its ultrasound guided removal.
作者信息
Meena Sanjay, Singla Amit, Saini Pramod, Mittal Samarth, Chowdhary Buddhadev
机构信息
Department of Orthopaedics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India.
出版信息
J Ultrasound. 2013 Oct 19;16(4):223-5. doi: 10.1007/s40477-013-0041-x.
Spontaneous migration of a retained bullet is rare. We are presenting here a case of a 24-year-old male with spontaneous migration of bullet from arm to forearm. At the time of initial injury, bullet was left inside the arm as it was deep and patient had no complaints. Three months after injury, he started complaining of pain over forearm and tingling sensations in the forearm and hand over median nerve distribution. Radiographs showed bullet in the proximal forearm. The bullet was than precisely localized and removed under ultrasound guidance. This case report emphasizes the fact that spontaneous migration of bullet in extremities may occur and have the potential to cause neurovascular damage. Removal under ultrasound guidance is a viable option in such locations.
留存子弹的自发迁移很少见。我们在此报告一例24岁男性病例，其体内的子弹从手臂自发迁移至前臂。在初次受伤时，由于子弹位置较深且患者无不适，所以子弹留在了手臂内。受伤三个月后，他开始抱怨前臂疼痛以及在前臂和手部正中神经分布区域有刺痛感。X光片显示子弹在前臂近端。随后在超声引导下精确确定子弹位置并将其取出。本病例报告强调了这样一个事实，即子弹在四肢的自发迁移可能发生，并有可能导致神经血管损伤。在这种情况下，超声引导下取出是一种可行的选择。
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