TY  - JOUR
PY  - 1987//
TI  - Hepatic vein bullet embolus as a complication of left thoracic gunshot injury
JO  - Annals of emergency medicine
A1  - Wallace, K. L.
A1  - Slovis, C. M.
SP  - 102
EP  - 104
VL  - 16
IS  - 1
N2  - The case of a patient with a hepatic vein bullet embolus complicating a left ventricular gunshot injury is described. The patient presented hypotensive with a left midaxillary entrance wound. Initial radiographs showed a bullet fragment below the right hemidiaphragm. Emergency open thoracotomy was performed with release of a tense pericardial effusion and repair of a left ventricular penetrating wound. Surgical exploration failed to reveal direct penetrating injury to the diaphragm or abdominal viscera. After a hepatic venogram localized the bullet fragment in a branch of the right lobe hepatic vein, a periscopically directed catheter extraction of the fragment was successfully performed. A discussion of missile embolization, its pathology, clinical presentation, diagnosis, and management is presented.<p /> <p>Language: en</p>
LA  - en
SN  - 0196-0644
UR  - http://dx.doi.org/
ID  - ref1
ER  -