title: A Retained Bullet in Pericardial Sac: Penetrating Gunshot Injury of the Heart.
abstract: Penetrating cardiac trauma is rarely seen but when present there is a short time lag to keep the patients alive. Cardiac gunshot injuries are exceptional and it occurs mostly during interpersonal disagreements casualties or a mistakenly fired gun nowadays. Here we present a case of cardiac gunshot injury from the war of Kobani, Syria. The patient was mistakenly diagnosed to have a sole bullet in the left shoulder while he had a penetrating cardiac trauma with a bullet in the heart and pericardial effusion possibly giving rise to pericardial tamponade. Luckily the cardiac gunshot injury was noticed one day later and the patient was referred to a tertiary hospital. Intrapericardial bullet was conservatively followed up. The patient was discharged one week later after resection of the bullet in the shoulder.
authors.affiliation: Cardiology, Suruc State Hospital, Sanliurfa, Turkey.
authors.forename: Adnan
authors.initials: A
authors.lastname: Kaya
authors.affiliation: Radiology, Suruc State Hospital, Sanliurfa, Turkey.
authors.forename: Emine
authors.initials: E
authors.lastname: Caliskan
authors.affiliation: Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Hospital, Istanbul, Turkey.
authors.forename: Mustafa Adem
authors.initials: MA
authors.lastname: Tatlisu
authors.affiliation: Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Hospital, Istanbul, Turkey.
authors.forename: Mert Ilker
authors.initials: MI
authors.lastname: Hayiroglu
authors.affiliation: Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Hospital, Istanbul, Turkey.
authors.forename: Ahmet Ilker
authors.initials: AI
authors.lastname: Tekessin
authors.affiliation: Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Hospital, Istanbul, Turkey.
authors.forename: Yasin
authors.initials: Y
authors.lastname: Cakilli
authors.affiliation: Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Hospital, Istanbul, Turkey.
authors.forename: Sahin
authors.initials: S
authors.lastname: Avsar
authors.affiliation: Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Hospital, Istanbul, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Oz
authors.affiliation: Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Hospital, Istanbul, Turkey.
authors.forename: Osman
authors.initials: O
authors.lastname: Uzman