Schöpf R, Lungenschmid D, Hagen D
Radiologische Praxis, Landeck, Tirol.
Aktuelle Radiol. 1998 Jul;8(4):203-4.
We report about a bullet embolus in the middle lobe pulmonary artery (a patient who was sent for a routine-chest-film preoperatively). The patient, 74 years old, was hit by a bullet in localization of the left masseteric region during world war II. The bullet entered the left Vena jugularis and was embolised into the middle lobe pulmonary artery (shock-position). By the means of CT-curved-reformations we could localize the bullet (2 x 0.7 cm) in the middle lobe pulmonary artery and diagnosed a lobar fibrosis as a sequel of the focal hypoxemia.
我们报告一例中叶肺动脉内的子弹栓子（该患者术前因常规胸片检查而就诊）。患者为74岁男性，在第二次世界大战期间左咬肌区被子弹击中。子弹进入左颈静脉并栓塞至中叶肺动脉（休克体位）。通过CT曲面重建，我们能够在中叶肺动脉内定位子弹（2×0.7 cm），并诊断出局灶性低氧血症后遗症导致的肺叶纤维化。
