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Electrolytic Inferior Vena Cava Model EIM of Venous Thrombosis
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Unusual venous bullet embolism - Case report.
Snežana Pavlekić1, Djordje Alempijević1, Dragan S Ječmenica1
1Institute of Forensic Medicine, Faculty of Medicine, University of Belgrade, Deligradska 31a, 11000, Belgrade, Serbia.
Journal of Forensic and Legal Medicine
|May 28, 2016
Summary
A rare bullet embolism case following gunshot trauma is presented. Bullet migration to the right external iliac vein was explained by a rare vena cava variation.
Area of Science:
- Trauma surgery
- Vascular surgery
- Radiology
Background:
- Penetrating gunshot trauma can lead to rare complications.
- Bullet embolism, where a bullet travels through the vasculature, is exceptionally uncommon.
Observation:
- A case of a single gunshot wound to the left thigh is detailed.
- The bullet's trajectory extended towards the neck, but it was recovered from the right external iliac vein.
Findings:
- The bullet's unusual migration pathway was attributed to a rare anatomical variation at the junction of the superior and inferior vena cava.
- This variation likely facilitated the bullet's movement into the venous system and subsequent embolism.
Implications:
- Highlights the importance of considering rare anatomical variations in trauma cases.
- Informs surgical planning and diagnostic imaging for penetrating injuries with suspected intravascular migration.
- Underscores the potential for complex bullet migration in gunshot wounds.
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