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Related Experiment Videos

Retained intrapulmonary bullet presenting with bronchial obstruction.

W A Kelley, E C James

    The Journal of Trauma
    |February 1, 1976
    PubMed
    Summary
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    A retained intrapulmonary bullet migrated 7 years post-injury, causing bronchial blockage and lung infection. Lobectomy is the recommended surgical treatment for this rare complication.

    Area of Science:

    • Pulmonary Medicine
    • Trauma Surgery
    • Radiology

    Background:

    • Retained intrapulmonary foreign bodies, such as bullets, can lead to delayed complications.
    • Late sequelae of penetrating thoracic trauma are infrequently reported.
    • Understanding the long-term behavior of intrapulmonary bullets is crucial for patient management.

    Observation:

    • A patient presented with symptoms 7 years after sustaining a penetrating injury.
    • Imaging revealed migration of a previously retained intrapulmonary bullet.
    • The migrated bullet caused significant bronchial occlusion.

    Findings:

    • The intrapulmonary bullet migration led to post-obstructive pneumonia.
    • Hemoptysis was notably absent despite the bronchial occlusion.

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  • Surgical intervention was considered for definitive management.

    • Implications:

    • This case highlights the potential for delayed intrapulmonary bullet migration and associated complications.
    • Early recognition and management of retained intrapulmonary bullets are important to prevent such sequelae.
    • Lobectomy is confirmed as a viable surgical option for managing late complications of intrapulmonary bullets.