Soft-tissue images. Bullet embolism

Spiral computed tomography of the chest with the use of oral and intravenous contrast medium showed the right-sided bullet fragments in apposition to the junction of the innominate vein with the superior vena cava (Fig. 2, arrow). The single bullet fragment on the left side was judged to be in a bra...

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Bibliographic Details
Published inCanadian Journal of Surgery Vol. 44; no. 4; p. 258
Main Authors Luison, F, Inculet, R I
Format Journal Article
LanguageEnglish
Published Canada CMA Impact, Inc 01.08.2001
Canadian Medical Association
Subjects
Adult
Embolism - diagnostic imaging
Embolism - etiology
Humans
Injuries
Male
Radiography
Suicide, Attempted
Surgical Images
Thoracic Injuries - diagnostic imaging
Wounds, Gunshot - diagnostic imaging
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Summary:Spiral computed tomography of the chest with the use of oral and intravenous contrast medium showed the right-sided bullet fragments in apposition to the junction of the innominate vein with the superior vena cava (Fig. 2, arrow). The single bullet fragment on the left side was judged to be in a branch of the left lower lobe pulmonary artery (Fig. 3, arrow). There was no mediastinal free air or contrast extravasation from the esophagus to suggest mediastinal passage and injury by the bullet. The parenchyma of the left lung was normal. It was concluded that the left bullet fragment had embolized from the right innominate vein.
Bibliography:Section Editors: David P. Girvan, MD, and Nis Schmidt, MD
Submissions to Surgical Images, soft-tissue section, should be sent to Dr. David P. Girvan, Victoria Hospital Corporation, PO Box 5375, Station B, London ON N6A 5A5 or to Dr. Nis Schmidt, Department of Surgery, St. Paul’s Hospital, 1081 Burrard St., Vancouver BC V6Z 1Y6.
ISSN:0008-428X
1488-2310