Document Detail

Arterial bullet embolism resulting in delayed vascular insufficiency: a rationale for mandatory extraction.
MedLine Citation:
PMID:  8810979     Owner:  NLM     Status:  MEDLINE    
This paper reports a case of migrating intravascular bullet embolus that initially produced no symptoms but resulted in an above-knee amputation 14 months after its entry into a peripheral artery. The missile entered through a penetrating gunshot wound to the abdominal aorta and later became lodged in the left popliteal artery. However, the bullet fragment migrated further into the posterior tibial artery with consequent vascular insufficiency requiring a supracondylar amputation of the left lower extremity 14 months later. Emphasis is placed on the need for a high index of suspicion for bullet embolism, aggressive search for any bullets unaccounted for, and early surgical removal of all confirmed arterial emboli.
P A Adegboyega; N Sustento-Reodica; A Adesokan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  41     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1996 Sep 
Date Detail:
Created Date:  1996-10-22     Completed Date:  1996-10-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  539-41     Citation Subset:  AIM; IM    
Department of Pathology, University of Texas Medical Branch, Galveston 77555-0588, USA.
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MeSH Terms
Embolism / etiology*
Foreign-Body Migration*
Leg / surgery
Tibial Arteries*
Wounds, Gunshot / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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