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Multiple sites bullet embolism as a cause of acute abdomen

Bullet embolism (BE) is a rare and misdiagnosed phenomenon that can significantly affect the cardiovascular system. It occurs when a bullet enters and migrates through the body vessels in gunshot victims. We report in this article a case of a 25-year-old male patient, victim of penetrating trauma ca...

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Autores principales: de Figueirêdo, Bárbara Lôbo, Monteiro Rabêlo, Priscylla Jennie, da Silva, Adercio Pereira, Rafael Moutinho, Luiz Eduardo, Lucena da Fonseca Neto, Olival Cirilo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8330603/
https://www.ncbi.nlm.nih.gov/pubmed/34377870
http://dx.doi.org/10.4103/2452-2473.320804
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author de Figueirêdo, Bárbara Lôbo
Monteiro Rabêlo, Priscylla Jennie
da Silva, Adercio Pereira
Rafael Moutinho, Luiz Eduardo
Lucena da Fonseca Neto, Olival Cirilo
author_facet de Figueirêdo, Bárbara Lôbo
Monteiro Rabêlo, Priscylla Jennie
da Silva, Adercio Pereira
Rafael Moutinho, Luiz Eduardo
Lucena da Fonseca Neto, Olival Cirilo
author_sort de Figueirêdo, Bárbara Lôbo
collection PubMed
description Bullet embolism (BE) is a rare and misdiagnosed phenomenon that can significantly affect the cardiovascular system. It occurs when a bullet enters and migrates through the body vessels in gunshot victims. We report in this article a case of a 25-year-old male patient, victim of penetrating trauma caused by a firearm projectile that presented two embolism destinations with acute ischemic repercussions: the right brachial artery and the branches of the superior mesenteric artery. We quickly performed surgical exploration to assess the level of ischemia and resect the foreign body. To the best of the authors' knowledge, this is the only case of acute vascular abdomen due to BE in the literature. There is no standard treatment for BE, and each case should be studied according to signs and symptoms while considering the risks of the destination vessel for the victim. Imaging is necessary for early diagnosis, and the medical team must be aware of multiple and extraordinary critical ischemia presentations when bullet trajectory suggests embolism.
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spelling pubmed-83306032021-08-09 Multiple sites bullet embolism as a cause of acute abdomen de Figueirêdo, Bárbara Lôbo Monteiro Rabêlo, Priscylla Jennie da Silva, Adercio Pereira Rafael Moutinho, Luiz Eduardo Lucena da Fonseca Neto, Olival Cirilo Turk J Emerg Med Case Report Bullet embolism (BE) is a rare and misdiagnosed phenomenon that can significantly affect the cardiovascular system. It occurs when a bullet enters and migrates through the body vessels in gunshot victims. We report in this article a case of a 25-year-old male patient, victim of penetrating trauma caused by a firearm projectile that presented two embolism destinations with acute ischemic repercussions: the right brachial artery and the branches of the superior mesenteric artery. We quickly performed surgical exploration to assess the level of ischemia and resect the foreign body. To the best of the authors' knowledge, this is the only case of acute vascular abdomen due to BE in the literature. There is no standard treatment for BE, and each case should be studied according to signs and symptoms while considering the risks of the destination vessel for the victim. Imaging is necessary for early diagnosis, and the medical team must be aware of multiple and extraordinary critical ischemia presentations when bullet trajectory suggests embolism. Wolters Kluwer - Medknow 2021-07-07 /pmc/articles/PMC8330603/ /pubmed/34377870 http://dx.doi.org/10.4103/2452-2473.320804 Text en Copyright: © 2021 Turkish Journal of Emergency Medicine https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
de Figueirêdo, Bárbara Lôbo
Monteiro Rabêlo, Priscylla Jennie
da Silva, Adercio Pereira
Rafael Moutinho, Luiz Eduardo
Lucena da Fonseca Neto, Olival Cirilo
Multiple sites bullet embolism as a cause of acute abdomen
title Multiple sites bullet embolism as a cause of acute abdomen
title_full Multiple sites bullet embolism as a cause of acute abdomen
title_fullStr Multiple sites bullet embolism as a cause of acute abdomen
title_full_unstemmed Multiple sites bullet embolism as a cause of acute abdomen
title_short Multiple sites bullet embolism as a cause of acute abdomen
title_sort multiple sites bullet embolism as a cause of acute abdomen
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8330603/
https://www.ncbi.nlm.nih.gov/pubmed/34377870
http://dx.doi.org/10.4103/2452-2473.320804
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