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Percutaneous removal of air-bullet gunshot: case report and literature review.

ABSTRACT: BACKGROUND:Cardiac air bullet injuries are rare but can be associated with significant morbidity and mortality. CASE PRESENTATION:We are presenting a young male child who sustained an accidental injury to the chest by an air rifle. Bullet entered the right ventricle from the anterior part of the chest and was identified in the RV side of the interventricular septum by echocardiography and chest CT scan. There was mild pericardial effusion but no valvular injury. The bullet was removed in the cath lab, and the patient was discharged home on the second day. CONCLUSIONS:It is reasonable to try foreign body removal in the cath lab, for certain cases, and avoid cardiac surgery.

SUBMITTER: Alakhfash AA

PROVIDER: S-EPMC7198657 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature

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Percutaneous removal of air-bullet gunshot: case report and literature review.

Alakhfash Ali A AA Alqwaee Abdullah A Almesned Abdulrahman A

The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology 20200504 1

<h4>Background</h4>Cardiac air bullet injuries are rare but can be associated with significant morbidity and mortality.<h4>Case presentation</h4>We are presenting a young male child who sustained an accidental injury to the chest by an air rifle. Bullet entered the right ventricle from the anterior part of the chest and was identified in the RV side of the interventricular septum by echocardiography and chest CT scan. There was mild pericardial effusion but no valvular injury. The bullet was rem ...[more]

PMID: 32367156

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Project description:PurposeThe purpose of this study was to systematically review the literature to gain a greater understanding of the role and usage of arthroscopy in removal of retained bullet fragments. Secondarily, we intend to examine the level of evidence and methodologic quality of studies reporting on this topic.MethodsA search of PubMed, MEDLINE, and Cochrane Database of Systematic Reviews was performed using the search terms ("Arthroscopic" OR "Arthroscopy") AND ("Bullet" OR "Gunshot" OR "Ballistic" OR "Removal"). Inclusion criteria included articles published in English reporting on arthroscopic or arthroscopically-assisted bullet removal. Studies lacking sufficient data to separate arthroscopic and open procedures were excluded. Level of evidence, study information (i.e., country, journal, etc.), and patient data was collected from each eligible article. The methodological index for non-randomized studies (MINORS) score were assigned to each article.ResultsA total of 2676 studies were identified in the initial search with 31 studies meeting criteria for inclusion in the study. Twenty-eight of the 31 studies were case reports. The MINORS score averaged 8.8 ± 1.5 (range 5-10) for included studies. Sixty-two patients were identified, the majority (94%) of whom were male with an average age of 36.2 ± 12.3 years. All 62 patients underwent successful arthroscopic bullet removal. One patient was reported to have a complication (compartment syndrome). Outcome measures were underreported in the majority of studies.ConclusionsOur study found that very little literature exists on the role of arthroscopy in bullet removal. Of this literature, no high-quality studies exist. Based on the limited existing literature, arthroscopy appears to be a safe, reliable alternative to open surgery for bullet removal. Potential benefits of arthroscopic bullet removal exist and warrant further investigation to further define the role of arthroscopy.Level of evidenceLevel V.

Dataset Information

Percutaneous removal of air-bullet gunshot: case report and literature review.

Publications

Percutaneous removal of air-bullet gunshot: case report and literature review.

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