Retrograde bullet migration from inferior vena cava into right common iliac vein following gunshot: A case report

Ibrahim Zahid; Hamza Abdur Rahim Khan; Omar Irfan; Benish Fatima; Maha Tahir; Muhammad Tariq; Fazal Wahab Khan; Saulat Fatimi

Retrograde bullet migration from inferior vena cava into right common iliac vein following gunshot: A case report

Ibrahim Zahid, Hamza Abdur Rahim Khan, Omar Irfan, Benish Fatima, Maha Tahir, Muhammad Tariq, Fazal Wahab Khan, Saulat Fatimi

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

Bullet embolization cases are rare and even rarer are its retrograde migration in the veins. We report the case of a 14 year old male with a gunshot wound to the left side of his chest. CT scan revealed bilateral haemothorax and foreign body in the right common iliac vein. The patient was immediately taken to the operating theatre and median sternotomy performed. Bullet entry tear was found in the inferior vena cava however, the bullet was found lodged in the right common iliac vein and slipped down against the flow of blood. The bullet was left in situ and after the necessary repair the chest was closed and the patient shifted to the CICU and discharged after 4 days in stable condition. Patient was followed after 1 week and reassured and advised for one year follow-up.

Original language	English
Pages (from-to)	1673-1675
Number of pages	3
Journal	Journal of the Pakistan Medical Association
Volume	66
Issue number	12
Publication status	Published - Dec 2016

Keywords

Bullet injury
Retrograde migration
Venous embolism

Cite this

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title = "Retrograde bullet migration from inferior vena cava into right common iliac vein following gunshot: A case report",

abstract = "Bullet embolization cases are rare and even rarer are its retrograde migration in the veins. We report the case of a 14 year old male with a gunshot wound to the left side of his chest. CT scan revealed bilateral haemothorax and foreign body in the right common iliac vein. The patient was immediately taken to the operating theatre and median sternotomy performed. Bullet entry tear was found in the inferior vena cava however, the bullet was found lodged in the right common iliac vein and slipped down against the flow of blood. The bullet was left in situ and after the necessary repair the chest was closed and the patient shifted to the CICU and discharged after 4 days in stable condition. Patient was followed after 1 week and reassured and advised for one year follow-up.",

keywords = "Bullet injury, Retrograde migration, Venous embolism",

author = "Ibrahim Zahid and Khan, {Hamza Abdur Rahim} and Omar Irfan and Benish Fatima and Maha Tahir and Muhammad Tariq and Khan, {Fazal Wahab} and Saulat Fatimi",

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T2 - A case report

AU - Zahid, Ibrahim

AU - Khan, Hamza Abdur Rahim

AU - Irfan, Omar

AU - Fatima, Benish

AU - Tahir, Maha

AU - Tariq, Muhammad

AU - Khan, Fazal Wahab

AU - Fatimi, Saulat

PY - 2016/12

Y1 - 2016/12

N2 - Bullet embolization cases are rare and even rarer are its retrograde migration in the veins. We report the case of a 14 year old male with a gunshot wound to the left side of his chest. CT scan revealed bilateral haemothorax and foreign body in the right common iliac vein. The patient was immediately taken to the operating theatre and median sternotomy performed. Bullet entry tear was found in the inferior vena cava however, the bullet was found lodged in the right common iliac vein and slipped down against the flow of blood. The bullet was left in situ and after the necessary repair the chest was closed and the patient shifted to the CICU and discharged after 4 days in stable condition. Patient was followed after 1 week and reassured and advised for one year follow-up.

AB - Bullet embolization cases are rare and even rarer are its retrograde migration in the veins. We report the case of a 14 year old male with a gunshot wound to the left side of his chest. CT scan revealed bilateral haemothorax and foreign body in the right common iliac vein. The patient was immediately taken to the operating theatre and median sternotomy performed. Bullet entry tear was found in the inferior vena cava however, the bullet was found lodged in the right common iliac vein and slipped down against the flow of blood. The bullet was left in situ and after the necessary repair the chest was closed and the patient shifted to the CICU and discharged after 4 days in stable condition. Patient was followed after 1 week and reassured and advised for one year follow-up.

KW - Bullet injury

KW - Retrograde migration

KW - Venous embolism

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M3 - Article

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AN - SCOPUS:84995598550

SN - 0030-9982

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JO - Journal of the Pakistan Medical Association

JF - Journal of the Pakistan Medical Association

IS - 12

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Retrograde bullet migration from inferior vena cava into right common iliac vein following gunshot: A case report

Abstract

Keywords

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