Abstract
Embolization due to a firearm projectile entering the bloodstream is a rare event that is unlikely to be suspected during initial treatment of trauma patients. We describe and discuss a case of bullet embolism of the abdominal aortic bifurcation, complicated by a pseudoaneurysm of the thoracoabdominal aorta and occlusion of the right common iliac artery, but successfully treated using a combination of endovascular methods and conventional surgery.
Highlights
Increasing levels of crime and interpersonal violence have driven up the number of patients seen at emergency services because of injuries caused by firearm projectiles over recent decades, to the extent that in Brazil gunshot wounds have a higher incidence than injuries caused by other agents.[1]
We describe a case of bullet embolization of the abdominal aorta complicated by a pseudoaneurysm of the thoracoabdominal aorta and occlusion of the right common iliac artery, which was treated using a hybrid approach
Angiotomography revealed a pseudoaneurysm of the thoracoabdominal aorta, 2 cm from the celiac trunk, and occlusion of the right common iliac artery (RCIA), showing the bullet located in the abdominal aortic bifurcation topography (Figure 1B, C, D)
Summary
Hybrid treatment of bullet embolism at the abdominal aortic bifurcation, complicated with thoracoabdominal aorta pseudoaneurysm and common iliac artery occlusion: case report. Patrick Bastos Metzger[1], Rafael Borges Monteiro[2], Maria Luiza Leite de Medeiros[3], Willian Guidini Lima[3], Vinicius Bertoldi[2], Fabio Henrique Rossi[1], Nilo Mitssuru Izukawa[1], Antônio Massamitsu Kambara[1]
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