Iliac arterial embolization by a bullet

Case contributed by Jose Miguel Terrazas Najera , 23 Oct 2012
Diagnosis certain
Changed by Alexandra Stanislavsky, 23 May 2017

Updates to Case Attributes

Presentation was changed:
Male patient age 29 yearsYoung man wounded by a firearm aimed at thorax.
Body was changed:

Entry wound was found at the levelEmbolisation of fourth left intercostal space, withoutbullet fragments to body regions distant to its initial trajectory is an exit wound.  The patient subsequently presented with signsuncommon, but well documented complication of ischemia in his right lower limbgun shot injuries.

Intraoperative angiography shows the head of the projectile embolizing the right iliac artery.  

Related article: 

  • -<p>Entry wound was found at the level of fourth left intercostal space, without an exit wound.  The patient subsequently presented with signs of ischemia in his right lower limb. </p><p>Intraoperative angiography shows the head of the projectile embolizing the right iliac artery.  </p><p>Related article: </p><ul><li><a href="/articles/imaging-of-gun-shot-injuries" title="Imaging of gun shot injuries">imaging of gun shot injuries</a></li></ul>
  • +<p>Embolisation of bullet fragments to body regions distant to its initial trajectory is an uncommon, but well documented complication of gun shot injuries.</p><p>Related article: </p><ul><li><a href="/articles/imaging-of-gunshot-injuries-1">imaging of gun shot injuries</a></li></ul>

Systems changed:

  • Forensic
  • Trauma

Updates to Study Attributes

Findings was added:

Entry wound was found at the level of fourth left intercostal space, without an exit wound.  The patient subsequently presented with signs of ischemia in his right lower limb. 

Intraoperative angiography shows the head of the projectile embolized to the right iliac artery.  

Images Changes:

Image DSA (angiography) (Iliac artery) ( update )

Perspective was set to Frontal.
Single Or Stack Root was set to .

Image DSA (angiography) (Iliac artery) ( update )

Perspective was set to Frontal.
Single Or Stack Root was set to .

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