An Elusive Bullet in the Gastrointestinal Tract: A Rare Case of Bullet Embolism in the Gastrointestinal Tract and a Review of Relevant Literature

Bullet embolism within the gastrointestinal system is extremely rare. Such bullet injuries are infrequently covered in the general literature, but the surgeon should be aware of the phenomenon. Smaller caliber bullets are more common in civilian gunshot wound (GSW) events. These bullets are able to...

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Main Authors: Saptarshi Biswas, Catherine Price, Sunil Abrol
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2014/689539
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author Saptarshi Biswas
Catherine Price
Sunil Abrol
author_facet Saptarshi Biswas
Catherine Price
Sunil Abrol
author_sort Saptarshi Biswas
collection DOAJ
description Bullet embolism within the gastrointestinal system is extremely rare. Such bullet injuries are infrequently covered in the general literature, but the surgeon should be aware of the phenomenon. Smaller caliber bullets are more common in civilian gunshot wound (GSW) events. These bullets are able to tumble through the gastrointestinal tract and cause perforation of the intestinal lumen which is small enough to be easily missed. Bullets retained in the abdominal cavity should not be dismissed as fixed and should be carefully monitored to ensure that they do not embolize within the bowel and cause occult lesions during their migration. We present a unique case wherein a bullet caused a minute perforation in the small bowel, before migrating to the distal colon, which resulted in late presentation of sepsis secondary to peritonitis.
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spelling doaj-art-347de54765f64a42aad49d25cbe221392025-02-03T05:51:08ZengWileyCase Reports in Critical Care2090-64202090-64392014-01-01201410.1155/2014/689539689539An Elusive Bullet in the Gastrointestinal Tract: A Rare Case of Bullet Embolism in the Gastrointestinal Tract and a Review of Relevant LiteratureSaptarshi Biswas0Catherine Price1Sunil Abrol2Brookdale University Hospital and Medical Center, 1 Brookdale Plaza, Brooklyn, NY 11212, USABrookdale University Hospital and Medical Center, 1 Brookdale Plaza, Brooklyn, NY 11212, USABrookdale University Hospital and Medical Center, 1 Brookdale Plaza, Brooklyn, NY 11212, USABullet embolism within the gastrointestinal system is extremely rare. Such bullet injuries are infrequently covered in the general literature, but the surgeon should be aware of the phenomenon. Smaller caliber bullets are more common in civilian gunshot wound (GSW) events. These bullets are able to tumble through the gastrointestinal tract and cause perforation of the intestinal lumen which is small enough to be easily missed. Bullets retained in the abdominal cavity should not be dismissed as fixed and should be carefully monitored to ensure that they do not embolize within the bowel and cause occult lesions during their migration. We present a unique case wherein a bullet caused a minute perforation in the small bowel, before migrating to the distal colon, which resulted in late presentation of sepsis secondary to peritonitis.http://dx.doi.org/10.1155/2014/689539
spellingShingle Saptarshi Biswas
Catherine Price
Sunil Abrol
An Elusive Bullet in the Gastrointestinal Tract: A Rare Case of Bullet Embolism in the Gastrointestinal Tract and a Review of Relevant Literature
Case Reports in Critical Care
title An Elusive Bullet in the Gastrointestinal Tract: A Rare Case of Bullet Embolism in the Gastrointestinal Tract and a Review of Relevant Literature
title_full An Elusive Bullet in the Gastrointestinal Tract: A Rare Case of Bullet Embolism in the Gastrointestinal Tract and a Review of Relevant Literature
title_fullStr An Elusive Bullet in the Gastrointestinal Tract: A Rare Case of Bullet Embolism in the Gastrointestinal Tract and a Review of Relevant Literature
title_full_unstemmed An Elusive Bullet in the Gastrointestinal Tract: A Rare Case of Bullet Embolism in the Gastrointestinal Tract and a Review of Relevant Literature
title_short An Elusive Bullet in the Gastrointestinal Tract: A Rare Case of Bullet Embolism in the Gastrointestinal Tract and a Review of Relevant Literature
title_sort elusive bullet in the gastrointestinal tract a rare case of bullet embolism in the gastrointestinal tract and a review of relevant literature
url http://dx.doi.org/10.1155/2014/689539
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