Retrograde bullet migration from inferior vena cava into right common iliac vein following gunshot: A case report.
Bullet embolization cases are rare and even rarer are its retrograde migration in the veins. We report the case of a 14 year old male with a gunshot wound to the left side of his chest. CT scan revealed bilateral haemothorax and foreign body in the right common iliac vein. The patient was immediately taken to the operating theatre and median sternotomy performed. Bullet entry tear was found in the inferior vena cava however, the bullet was found lodged in the right common iliac vein and slipped down against the flow of blood. The bullet was left in situ and after the necessary repair the chest was closed and the patient shifted to the CICU and discharged after 4 days in stable condition. Patient was followed after 1 week and reassured and advised for one year follow-up.
Dow University of Health Sciences, Aga Khan Hospital, Karachi, Pakistan.
Ibrahim
I
Zahid
Medical College, Aga Khan University, Karachi, Pakistan.
Hamza Abdur
HA
Rahim Khan
Medical College, Aga Khan University, Karachi, Pakistan.
Omar
O
Irfan
Medical College, Liaquat National Hospital, Aga Khan Hospital, Karachi, Pakistan.
Benish
B
Fatima
Medical College, Dow International, Aga Khan Hospital, Karachi, Pakistan.
Maha
M
Tahir
Department of Cardiothoracic Surgery, Aga Khan Hospital, Karachi, Pakistan.
Muhammad
M
Tariq
Department of Cardiothoracic Surgery, Aga Khan Hospital, Karachi, Pakistan.
Fazal Wahab
FW
Khan
Department of Cardiothoracic Surgery, Aga Khan Hospital, Karachi, Pakistan.
Saulat
S
Fatimi
D000293:Adolescent; D005547:Foreign Bodies / Q000175:diagnosis / Q000601:surgery*; D005548:Foreign-Body Migration; D006801:Humans; D007084:Iliac Vein / Q000473:pathology; D008297:Male; D014057:Tomography, X-Ray Computed; D014682:Vena Cava, Inferior / Q000473:pathology; D014948:Wounds, Gunshot
 Bullet injury, venous embolism, retrograde migration.