An old retained metallic bullet with far distance displacement and unusual presentation

Aghabiklooei, A. and Baghaei, M. and Fallah, F. (2016) An old retained metallic bullet with far distance displacement and unusual presentation. Romanian Journal of Legal Medicine, 24 (1). pp. 7-10.

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Legal medicine departments are almost always involved during the management of gunshot injuries; therefore, having enough knowledge about the management of gunshot victims is essential for the experts in this field. In cases of gunshot injuries without an exit wound, the retained bullet must be located. Migration of retained bullet should always be suspected but its pathway and direction is unpredictable. When the retained bullet is not detectable in the expected area exploratory imaging is necessary. In this report, we describe the case of an old woman who was shot accidentally in the suprascapular region, the bullet remained in her body and had a multistage migration: from the soft tissue of the suprascapular region (the primary site) to the biliary system where it remained for three years; it was afterwards displaced within the biliary system causing biliary obstruction and related symptoms; finally it migrated rapidly from the common bile duct to the colon. This article will discuss diagnosis and surgical problems associated with multistage bullet migration. This case reveals the importance of whole body inspection in gunshot victims for exit wounds, including through imaging methods and clarifies the need for regular follow-up in victims with retained bullets even when they are asymptomatic. © 2016 Romanian Society of Legal Medicine.

Item Type: Article
Additional Information: cited By 0
Subjects: WZ History of Medicine. Medical Miscellany
Depositing User: eprints admin
Date Deposited: 04 Jul 2018 05:54
Last Modified: 03 Dec 2022 10:38

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