title: Unusual route of a bullet: From scapula to eye.
abstract: Herein, an awkward case of globe perforation with a bullet-entering from the right posterior scapular region and leaving the body from the right orbit through the eye - is reported. Route of the bullet could be devastating - as it passed through the neck and the maxillofacial region-however by chance no vital damage occurred. Its path was assessed by plain radiography and computed tomography scans. Sometimes prediction of the trajectory is very difficult without additional radiological investigations. Especially, in the case of any high velocity projectile wounding, physician must be aware of the fact that the bullet's course will not be a linear but most probably a complicated one. Prognosis of the injury depends on the path of the bullet or shrapnel fragment, close clinical observation, an open-minded approach, and the multidisciplinary care. Moreover, even the crime investigation might be needed.
authors.affiliation: Department of Ophthalmology, Ege University Faculty of Medicine, Izmir, Turkey.
authors.forename: Elif Demirkilinc
authors.initials: ED
authors.lastname: Biler
authors.affiliation: Department of Ophthalmology, Ege University Faculty of Medicine, Izmir, Turkey.
authors.forename: Melis Palamar
authors.initials: MP
authors.lastname: Onay
authors.affiliation: Department of Radiology, Ege University Faculty of Medicine, Izmir, Turkey.
authors.forename: Naim
authors.initials: N
authors.lastname: Ceylan
authors.affiliation: Department of Ophthalmology, Ege University Faculty of Medicine, Izmir, Turkey.
authors.forename: Bilge Yildirim
authors.initials: BY
authors.lastname: Ceper
mesh_terms: D000293:Adolescent; D015807:Eye Injuries, Penetrating / Q000175:diagnosis*; D006801:Humans; D008297:Male; D009104:Multiple Trauma; D009915:Orbit / Q000000981:diagnostic imaging / Q000293:injuries*; D012540:Scapula / Q000000981:diagnostic imaging / Q000293:injuries*; D014057:Tomography, X-Ray Computed; D015599:Trauma Severity Indices; D014948:Wounds, Gunshot / Q000175:diagnosis*