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J Korean Soc Emerg Med > Volume 19(6); 2008 > Article
Journal of The Korean Society of Emergency Medicine 2008;19(6): 773-776.
Bullet Embolism
Kyoung Chan An, Choung Ah Lee, Soo Hyun Cha, Sang Cheon Choi, Gi Woon Kim, Young Gi Min, Jung Hwan Ahn, Young Shin Cho, Yoon Seok Jung
Department of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea. flyingguy@paran.com
When a bullet hits the body, it generally follows a straight path, and there may or may not be an exit wound. Sometimes the bullet loses its kinetic energy within a blood vessel and thus it embolizes into the cardiovascular system, either in the systemic circulation or the pulmonary circulation and we call this phenomenon a "Bullet" embolism. A thirty-five years old man with a gun shot injury on his abdomen came to hospital. There was an entry site, but no exit site. According to his plain X-ray, there was no bullet in his abdomen. Instead, the bullet was located on the right ventricle of the heart. Because there was no injury on his diaphragm and heart, we concluded that the bullet got into a blood vessel and it ran through the venous system into the heart.
Key words: Gunshot, Embolism
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