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The Fantastic Journey of a Bullet: Out with a Snare

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Abstract

Bullet embolus is a rare complication of penetrating missile trauma. Removal of the bullet previously required surgery. We report the case of a 14-year-old with an hepatic vein bullet embolus following a gunshot wound to the left buttock. A transjugular approach was used to extract the bullet percutaneously with an Amplatzer gooseneck snare.

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Acknowledgment

We acknowledge the services of Richard J. Bower, MD, Department of Pediatric Surgery, Saint Louis University School of Medicine, for performing venous cut-down to assist in extraction of the bullet.

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Authors and Affiliations

  1. Department of Pediatrics, Saint Louis University School of Medicine/Cardinal Glennon Children’s Medical Center, 1465 South Grand Boulevard, St. Louis, MO, 63104, USA

    Sunil S. Raikar, Saadeh B. Jureidini, Ian C. Balfour & Kathy Tinker

Authors
  1. Sunil S. Raikar
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  2. Saadeh B. Jureidini
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  3. Ian C. Balfour
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  4. Kathy Tinker
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Corresponding author

Correspondence to Sunil S. Raikar.

Electronic supplementary material

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246_2009_9528_MOESM1_ESM.avi

Cine-frame showing the bullet snared and pulled out of liver into the right atrium. It was later pulled through the superior vena cava and right internal jugular vein (AVI 34.5 MB)

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Raikar, S.S., Jureidini, S.B., Balfour, I.C. et al. The Fantastic Journey of a Bullet: Out with a Snare. Pediatr Cardiol 31, 108–110 (2010). https://doi.org/10.1007/s00246-009-9528-9

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  • DOI: https://doi.org/10.1007/s00246-009-9528-9

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