A retained intrahepatic bullet in the Bermuda triangle: A case report of surgical extraction

INTRODUCTION AND IMPORTANCE: The management of retained gunshot injury in the liver is not properly discussed in the literature. CASE PRESENTATION: We describe a rare case of intrahepatic retained foreign body (bullet). Our patient is a 39-year old Yemeni soldier, who was exposed to firearm injury 10 months previously. The patient sought medical advice to extract the foreign body, and it was successfully extracted through abdominal exploration, with no intraoperative or postoperative complications. DISCUSSION: Retained liver foreign bodies have three types, penetrating, medical, and migrating. Before the removal of the foreign body, good patient evaluation along with good surgical expertise should be present. CONCLUSION: There is a need for general guidelines to manage such patients who should be assessed by high volume surgeons.