title: Traumatic aortocaval fistula from gunshot wound, complicated by bullet embolization to the right ventricle.
abstract: Aortocaval fistulas are most commonly the result of spontaneous rupture or erosion of an abdominal aortic aneurysm into the inferior vena cava (80-90%). The remaining 10-20% of aortocaval fistulas are usually the result of penetrating or iatrogenic trauma from gunshot or stab wounds. We report the case of a 19-year-old male, status post multiple gunshot wounds. To our knowledge, this is the first case report of bullet embolization to the right ventricle from a traumatic aortocaval fistula. We discuss pertinent imaging findings and management of both aortocaval fistulas and bullet emboli.
authors.forename: Hannah
authors.initials: H
authors.lastname: Kim
authors.forename: Samuel
authors.initials: S
authors.lastname: Randolph