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Updated: Dec 15, 2025

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Published on: March 24, 2023
A shotgun wedding
Leroy Ekeh1, Christopher R Dermarkarian1, Rod Foroozan1
1Cullen Eye Institute. Baylor College of Medicine. Houston, Texas.
Abstract:
A 69-year-old woman developed a carotid-cavernous fistula (CCF) after firing a shotgun. Initially, the patient had mild visual symptoms, but later on developed prominent features of CCF including chemosis, proptosis, ophthalmoparesis and conjunctival injection . The fistula was embolized via an intravascular coiling procedure. We are unaware of another patient who developed a CCF due to blunt force from shotgun use.
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