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Related Experiment Video

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A Porcine Model of Acute Autologous Pulmonary Embolism

A Porcine Model of Acute Autologous Pulmonary Embolism

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Bilateral shotgun pellet pulmonary emboli.

Stephen Huebner¹, Sayed Ali

¹Department of Radiology, Temple University Hospital, Philadelphia, PA 19140, USA. Stephen.Huebner@tuhs.temple.edu

Journal of Radiology Case Reports

|June 13, 2012

Summary

Intravascular bullet migration is a rare complication of trauma. This case highlights shotgun pellets embolizing to pulmonary arteries after surgery, emphasizing the need for vigilance in diagnosing such unusual foreign body migration.

Keywords:

Shotgun pellet intravascular migration pulmonary emboli surgery

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Area of Science:

Traumatology
Vascular Surgery
Radiology

Background:

Intravascular migration of foreign bodies, such as bullets, is a rare complication of penetrating trauma.
Missile embolization can present diagnostic challenges due to varied and unexpected clinical manifestations.

Observation:

A 54-year-old female presented with bilateral shotgun pellet emboli to the pulmonary arteries.
These emboli occurred subsequent to a gunshot wound to the left upper extremity and related vascular surgery.

Findings:

The case demonstrates that embolization can occur bilaterally and post-operatively.
Radiographic monitoring is crucial for identifying intravascular foreign body migration, especially with atypical presentations.

Implications:

Clinicians should consider intravascular embolization in patients with gunshot wounds, particularly when symptoms are unusual or projectiles are misplaced.
This case underscores the importance of thorough evaluation and serial imaging in diagnosing missile embolization.