Delayed embolization of a shotgun pellet from the chest to the middle cerebral artery.

Embolization of metallic missiles into the cerebral circulation is a rare occurrence. Most of the cases reported were due to gunshot wounds and shotgun wounds to the neck and face. Embolization from injuries sustained to the chest are extremely rare. We report a case of delayed pellet embolization to the middle cerebral artery resulting from a shotgun injury to the left chest.

[1]  M. Lynn,et al.  Plastic bullet arterial embolization following gunshot injury to the heart. Case report and review of the literature. , 1990, The Journal of cardiovascular surgery.

[2]  M. Massad,et al.  Wandering intravascular missiles: report of five cases from the Lebanon war. , 1988, Surgery.

[3]  M. Klitenick,et al.  Pulmonary vein to systemic artery missile embolus. , 1982, The Journal of trauma.

[4]  D. Sklar,et al.  Shotgun pellet embolization from the chest to the middle cerebral arteries. , 1982, The Journal of trauma.

[5]  C. Kase,et al.  Shotgun pellet embolus to the middle cerebral artery , 1981, Neurology.

[6]  B. Gipe,et al.  Delayed cerebral embolization of a shotgun pellet with fatal consequences. , 1981, The Journal of trauma.

[7]  H. Reines,et al.  Neurogenic pulmonary edema and missile emboli. , 1980, The Journal of trauma.

[8]  S. Zaki,et al.  Intracranial missile emboli. , 1980, Journal of forensic sciences.

[9]  J. Havill,et al.  Cerebral embolisation of a shotgun pellet: case report. , 1979, The New Zealand medical journal.

[10]  M. Debakey,et al.  Intravascular migratory bullets. , 1979, American journal of surgery.

[11]  R. Fisk,et al.  Missile migration from lung to heart with delayed systemic embolization. , 1977, Chest.

[12]  S. Duerr,et al.  Gunshot wound of the abdomen with cerebral embolization. , 1977, The Journal of trauma.

[13]  S. Padar.  Air gun pellet embolizing the intracranial internal carotid artery. , 1975, Journal of neurosurgery.

[14]  I. Gielchinsky,et al.  Metallic fragment embolization to the cerebral circulation. , 1973, The Journal of trauma.

[15]  W. Coxe,et al.  Shotgun pellet embolus of the middle cerebral artery. Case report. , 1970, Journal of neurosurgery.

[16]  C. Trimble.  Arterial Bullet Embolism following Thoracic Gunshot Wounds , 1968, Annals of surgery.

[17]  J. D. Burton,et al.  Gunshot Wounds of the Heart with Embolism , 1961 .

[18]  G. Gaist,et al.  Occlusion of middle cerebral artery by foreign body embolus. Report of a case. , 1960, Journal of neurosurgery.