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Updated: Sep 22, 2025

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Published on: May 29, 2021
Simultaneous retrograde venous and anterograde arterial bullet embolism: a case report
Ahmad Hosseinzadeh1, Mohammad Moeini Farsani1, Mohamad Mahdi Mahmoudi1,2
1Department of Vascular Surgery, Shiraz University of Medical Science, Shiraz, Iran.
Background:
Bullet embolus is a rare condition following gunshot injuries and represents a clinical challenge regarding both diagnosis and management.
Case Presentation:
We report the case of a 35-year-old Iranian (Middle-Eastern) male patient with a shotgun injury to both buttocks, which traveled to the heart and the popliteal area through the femoral vein and superficial femoral artery, respectively. Surgical intervention was applied for the popliteal pellet, and the patient was discharged without further complications.
Conclusion:
Although bullet emboli can be a clinical challenge, with the advent of modern procedures, removal has become safer. X-ray, computed tomography, and transthoracic and/or transesophageal echocardiography may be used as adjuncts to help establish the diagnosis.
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