Description

Occasionally a bullet from a gunshot wound may embolize through the vascular system.


 

Risk factors:

(1) bullet fragmentation or gunshot/BB pellets

(2) vascular wound involving a large artery or vein

Vascular Wound

Embolism

arterial

distal arterial embolism (distal extremity, kidney, brain)

venous

right ventricle or pulmonary artery

venous with patent foramen ovale

paradoxical embolism to peripheral artery

 

Very rarely a person may have both arterial and venous wounds, with combined patterns of embolization.

 


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