Abdo Alain, Zamoun Mylene, Vasile Teodor, Bailly Minh Tam, El Hatimi Safwane, Bellin Marie-France, Meyrignac Olivier
Radiology department, Bicetre Hospital APHP, 78 Rue du Général Leclerc, Le Kremlin Bicetre 94270, France.
Cardiology department, Bicetre Hospital APHP, Le Kremlin Bicetre, France.
Radiol Case Rep. 2021 Aug 25;16(11):3172-3175. doi: 10.1016/j.radcr.2021.07.060. eCollection 2021 Nov.
Pellet embolism to the heart following gunshot injuries is an unusual event that requires a fast diagnosis. Imaging assessment is necessary to locate the projectiles and look for associated injuries. We present a case of a 41-year-old woman admitted after sustaining 2 gunshot wounds in the abdomen and left thigh, with the initial computed tomography (CT) scan showing a metallic object next to the right ventricle. Further radiological evaluation included transthoracic echocardiography and electrocardiogram-gated cardiac CT scan which confirmed the diagnosis of a migrating pellet to the right ventricle, entrapped within the trabeculations. Electrocardiogram-gated cardiac CT has a major role in detailed evaluation of bullet embolism to the heart cavities and guides the management.
枪伤后心脏出现弹丸栓塞是一种罕见事件，需要快速诊断。进行影像学评估对于定位投射物并查找相关损伤很有必要。我们报告一例41岁女性，其腹部和左大腿遭受两处枪伤后入院，初始计算机断层扫描（CT）显示右心室旁有一金属物体。进一步的放射学评估包括经胸超声心动图和心电图门控心脏CT扫描，这些检查确诊了一枚弹丸迁移至右心室并被困于小梁内。心电图门控心脏CT在详细评估心脏腔室的子弹栓塞中起主要作用，并指导治疗。
