Department of Vascular Surgery, Shiraz University of Medical Science, Shiraz, Iran.
Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
J Med Case Rep. 2022 May 22;16(1):198. doi: 10.1186/s13256-022-03414-7.
Bullet embolus is a rare condition following gunshot injuries and represents a clinical challenge regarding both diagnosis and management.
We report the case of a 35-year-old Iranian (Middle-Eastern) male patient with a shotgun injury to both buttocks, which traveled to the heart and the popliteal area through the femoral vein and superficial femoral artery, respectively. Surgical intervention was applied for the popliteal pellet, and the patient was discharged without further complications.
Although bullet emboli can be a clinical challenge, with the advent of modern procedures, removal has become safer. X-ray, computed tomography, and transthoracic and/or transesophageal echocardiography may be used as adjuncts to help establish the diagnosis.
枪弹异物是枪击伤后罕见的一种情况，在诊断和处理方面均具有挑战性。
我们报告了一例 35 岁的伊朗（中东）男性患者，双侧臀部遭受枪击伤，霰弹分别经股静脉和股浅动脉进入心脏和腘窝区。对腘窝区的弹丸进行了外科干预，患者出院时无其他并发症。
尽管枪弹异物可能是一个临床挑战，但随着现代手术的出现，取出异物变得更加安全。X 射线、计算机断层扫描以及经胸和/或经食管超声心动图可作为辅助手段，帮助确立诊断。
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