Department of Surgery, University of KwaZulu-Natal, South Africa.
King Edward VII Hospital, South Africa.
S Afr J Surg. 2020 Sep;58(3):165.
The unpredictable nature and behaviour of bullet emboli can pose unique diagnostic and management challenges, related to the absence of exit wounds or variable trajectories. However, embolisation into the vascular system is an extremely unusual occurrence, with fewer than 200 such cases described since 1900. Given the relative paucity of such literature reports, it is not surprising that guidelines for the optimal management of some of these emboli are neither clear cut, nor universally accepted. We report the second case of retrograde venous bullet embolism to the right renal vein following a gunshot injury to the right chest and the surgical solution.
子弹栓子的不可预测性质和行为可能会带来独特的诊断和管理挑战，这与缺乏出口伤口或可变轨迹有关。然而，栓塞到血管系统是一种极其罕见的情况，自 1900 年以来，仅有不到 200 例此类病例描述。鉴于此类文献报道相对较少，对于这些栓子的一些最佳管理方法，没有明确的指导方针，也没有得到普遍接受，这并不奇怪。我们报告了第二例右侧胸部枪击伤后逆行静脉子弹栓塞到右肾静脉的病例，并介绍了手术解决方案。
