Landwehr Hunter J, Hinton Jared B, Loudon Andrew M, Moorman Matthew L
Northeast Ohio Medical University, College of Medicine, 4209 St., OH-44, Rootstown, OH 44272, United States.
Department of Surgery, University Hospitals, 1110 Euclid Ave., Cleveland, OH 44106, United States.
J Surg Case Rep. 2024 Sep 26;2024(9):rjae611. doi: 10.1093/jscr/rjae611. eCollection 2024 Sep.
Bullet embolism is a rare phenomenon where a bullet migrates from its original point of entry to a distant site within the body. This brief report describes a case of a bullet embolism entering the gastrointestinal (GI) tract through the posterior oropharynx. The patient initially presented with a gunshot wound to the left scapula, and the bullet was later identified in the GI tract. The patient was managed with a combination of endoscopic techniques and serial imaging, avoiding unnecessary surgical intervention. This case underscores the importance of comprehensive diagnostic strategies and tailored management in GI bullet embolism. It also emphasizes the utility of endoscopy in detecting GI tract injuries and highlights the successful use of non-operative management in specific scenarios.
子弹栓塞是一种罕见现象，即子弹从其原始进入点迁移至体内远处部位。本简短报告描述了一例子弹栓塞经口咽后部进入胃肠道（GI）的病例。患者最初表现为左肩胛骨枪伤，后来在胃肠道中发现了子弹。该患者采用内镜技术和系列影像学检查相结合的方法进行治疗，避免了不必要的手术干预。该病例强调了在胃肠道子弹栓塞中综合诊断策略和个性化管理的重要性。它还强调了内镜检查在检测胃肠道损伤方面的实用性，并突出了在特定情况下非手术治疗的成功应用。
