Morris Kahlen R, Rath Joseph C, Miller Robert E
University of South Dakota Sanford School of Medicine.
Department of Surgery, University of South Dakota Sanford School of Medicine.
S D Med. 2024 Feb;77(2):68-71.
Bullet embolization is a rare and potentially life-threatening complication of gunshot wounds, particularly in lowpowered and small-caliber bullets. When these small bullets enter a large elastic vessel, they have the potential to leave a small entrance hole that can form a traumatic pseudoaneurysm. These pseudoaneurysms, which may be life-protecting at first, may rupture and lead to exsanguination if not found. We report an interesting case of an 18-year-old male gunshot victim where a bullet formed an aortic pseudoaneurysm and subsequently embolized and present a review of the literature regarding bullet embolization and traumatic pseudoaneurysms.
子弹栓塞是枪弹伤的一种罕见且潜在危及生命的并发症,尤其是在低威力和小口径子弹的情况下。当这些小子弹进入大的弹性血管时,它们有可能留下一个小的入口孔,从而形成外伤性假性动脉瘤。这些假性动脉瘤最初可能具有保护生命的作用,但如果不被发现,它们可能会破裂并导致出血。我们报告了一个有趣的 18 岁男性枪击受害者的病例,子弹形成了主动脉假性动脉瘤,随后发生了栓塞,并对子弹栓塞和外伤性假性动脉瘤的文献进行了回顾。