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10.5606/tgkdc.dergisi.2016.11545
Migrating bullet from thorax to retroperitoneum
Mehmet Oğuzhan Özyurtkan1, Mustafa Necati Dağlı2
1Department of Thoracic Surgery, Medical Faculty of İstanbul Bilim University, İstanbul, Turkey
2Department of Cardiology, Medical Faculty of Fırat University, Elazığ, Turkey
DOI : 10.5606/tgkdc.dergisi.2016.11545
Bullet injuries to the thorax are observed frequently. When
the radiographic location of the bullet does not correlate
with the expected trajectory, a possible bullet embolism
should be considered. In this article, we present a 39-year-old
male patient who suffered a gunshot to his back. Patient’s
hemopneumothorax was treated with tube thoracostomy;
however, the bullet was found to have migrated to the
retroperitoneum without an overt mediastinal, diaphragmatic,
or abdominal visceral organ injury. Angiography demonstrated
no vascular embolism. The exact mechanism for the bullet to
reach to the retroperitoneum was unknown, but a possible
presence of a Bochdalek’s triangle was suspected.
Keywords : Foreign body migration; penetrating injury; retroperitoneal space
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