Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Bullet embolization to the external iliac artery after gunshot injury to the abdominal aorta: a case report. | Jaha et al. Journal of Medical Case Reports 2011 5 354 http content 5 1 354 JOURNALOF medical Ur Case REPORTS CASE REPORT Open Access Bullet embolization to the external iliac artery after gunshot injury to the abdominal aorta a case report 1 1 2 3 Luan Jaha Bekim Ademi Vlora Ismaili-Jaha and Tatjana Andreevska Abstract Introduction Abdominal vascular trauma is fairly common in modern civilian life and is a highly lethal injury. However if the projectile is small enough if its energy is diminished when passing through the tissue and if the arterial system is elastic enough the entry wound into the artery may close without exsanguination and therefore may not be fatal. A projectile captured may even travel downstream until it is arrested by the smaller distal vasculature. The occurrence of this phenomenon is rare and was first described by Trimble in 1968. Case presentation Here we present a case of a 29-year-old Albanian man who due to a gunshot injury to the back suffered fracture of his twelfth thoracic and first lumbar vertebra injury to the posterior wall of his abdominal aorta and then bullet embolism to his left external iliac artery. It is interesting that the signs of distal ischemia developed several hours after the exploratory surgery raising the possibility that the bullet migrated in the interim or that there was a failure to recognize it during the exploratory surgery. Conclusion In all cases where there is a gunshot injury to the abdomen or chest without an exit wound and with no projectile in the area there should be a high index of suspicion for possible bullet embolism particularly in the presence of the distal ischemia. Introduction Abdominal vascular trauma is fairly common in modern civilian life and is a highly lethal injury with overall mortality around 40 in some reported series. The main cause for this high mortality relates to problems transporting injured patients to the hospital fast enough to prevent .
