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Journal articles on the topic 'Bullet injury'

Author: Grafiati

Published: 2 June 2025

Last updated: 31 July 2025

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1

Cheng, Jason S., R. Mark Richardson, Alisa D. Gean, and Shirley I. Stiver. "Delayed acute spinal cord injury following intracranial gunshot trauma." Journal of Neurosurgery 116, no. 4 (2012): 921–25. http://dx.doi.org/10.3171/2011.12.jns111047.

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The authors report the case of a patient who presented with a hoarse voice and left hemiparesis following a gunshot injury with trajectory entering the left scapula, traversing the suboccipital bone, and coming to rest in the right lateral medullary cistern. Following recovery from the hemiparesis, abrupt quadriparesis occurred coincident with fall of the bullet into the anterior spinal canal. The bullet was retrieved following a C-2 and C-3 laminectomy, and postoperative MR imaging confirmed signal change in the cord at the level where the bullet had lodged. The patient then made a good neuro

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Park, S., J. Park, JM Kim, et al. " Penetrating cranial injury due to gunshot in a dog: a case report." Veterinární Medicína 55, No. 5 (2010): 253–57. http://dx.doi.org/10.17221/2995-vetmed.

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A ten-month old, male Black and Tan Coonhound dog was referred with ocular bleeding due to gunshot injury. His mental state was normal. A computed tomography revealed that the bullet was planted in the left cranium. It was presumed that the trajectory of the bullet penetrated from the right medial angle of the eye to the orbit, and changed its track to caudo-dorsal by penetrating the cranium, ending up at the left cranium. The bullet was removed by lateral rostrotentorial craniectomy. No complications were observed during a one-year follow-up except the blindness in the right eye. This is a ra

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3

Marraccini, John V., Kimberly Lentz, and Mark G. Mckenney. "Blood Pressure Effects of Thoracic Gunshot Wounds: The Role of Bullet Image Diameter." American Surgeon 67, no. 4 (2001): 354–56. http://dx.doi.org/10.1177/000313480106700411.

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Differences in handgun bullet diameter, expansion, and penetration (no exit) versus perforation (with exit) may be the cause of variable blood pressure effects after thoracopulmonary injury. Forty nonlethal isolated gunshot wounds of the thorax were evaluated excluding wounds of the heart, great vessels, and spinal cord. Chest radiographs were assessed for bullet base diameter, bullet expansion, and wound length. Large bullets were defined as having radiographic base images of 9 mm or more in diameter. Systolic blood pressures were compared between penetrating large and small bullet groups and

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Liu, Susu, C. Xu, Y. Wen, G. Li, and J. Zhou. "Assessment of bullet effectiveness based on a human vulnerability model." Journal of the Royal Army Medical Corps 164, no. 3 (2017): 172–78. http://dx.doi.org/10.1136/jramc-2017-000855.

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IntroductionPenetrating wounds from explosively propelled fragments and bullets are the most common causes of combat injury. There is a requirement to assess the potential effectiveness of bullets penetrating human tissues in order to optimise preventive measures and wound trauma management.MethodsAn advanced voxel model based on the Chinese Visible Human data was built. A digital human vulnerability model was established in combination with wound reconstruction and vulnerability assessment rules, in which wound penetration profiles were obtained by recreating the penetration of projectiles in

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Tsymbaliuk, V., I. Lurin, K. Gumeniuk, et al. "Modeling of wound ballistics in biological tissues simulators." Medicni perspektivi 28, no. 1 (2023): 37–48. https://doi.org/10.26641/2307-0404.2023.1.275866.

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Modern weapons cause severe damage, accompanied by high rates of complications and mortality. The investigation of such kinds of weapons is in high demand considering the ongoing active phase war against Ukraine since February 2022. In order to understand the pathological processes that occur in and outside the gunshot wound, we conducted an experimental study using mathematical simulation. The results presented in the article will help to choose the appropriate surgical management and improve the results of treatment. The aim of this study was to investigate and evaluate the damaging eff

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Kobayashi, Masahiko, and Paul F. Mellen. "Rubber Bullet Injury." American Journal of Forensic Medicine and Pathology 30, no. 3 (2009): 262–67. http://dx.doi.org/10.1097/paf.0b013e318187dfa8.

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Richards, J. Scott, Samuel L. Stover, and Theresa Jaworski. "Effect of bullet removal on subsequent pain in persons with spinal cord injury secondary to gunshot wound." Journal of Neurosurgery 73, no. 3 (1990): 401–4. http://dx.doi.org/10.3171/jns.1990.73.3.0401.

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✓ The prevention or minimization of future pain is often cited as a reason for removal of the bullet from patients who have incurred a spinal cord injury secondary to a gunshot wound. In an attempt to examine this assumption, multimodal pain ratings were recorded for 14 patients with spinal cord injury due to a gunshot wound in whom the bullet was still present, 14 neurologically matched patients with spinal cord injury due to a gunshot wound in whom the bullet was removed, and 28 control patients with spinal cord injury unrelated to a gunshot wound who were neurologically matched to the first

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Povstyaniy, Vitalii, Volodymyr Mishalov, Oleksandr Petrochak, Oleksii Sokolov, and Vitalii Levchenko. "DETERMINATION OF THE POSSIBILITY OF A LETHAL BULLET INJURY TO THE HEAD DUE TO A PROJECTILE RICOCHET TAKING INTO ACCOUNT THE ANALYSIS OF MORPHOLOGICAL CHARACTERISTICS OF EXPERIMENTALLY FIRED BULLETS." Forensic-medical examination, no. 1 (July 31, 2024): 70–77. http://dx.doi.org/10.24061/2707-8728.1.2024.10.

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Gunshot wounds always occupy one of the leading places in the structure of violent mortality, however, there is not enough information in the specialised literature that highlights the distinct individual characteristics of projectiles (bullets) that were removed from a biological object and became the instrument of death, and when they ricochet (collide with an obstacle) after a series of experimental shots. Aim: To determine the possibility of causing a fatal bullet injury to the head after the ricochet of a projectile from the road surface, taking into account the analysis of the morphologi

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Špakauskas, Bronius, Kazys Ambrozaitis, and Egidijus Kontautas. "The bullet in the dural sac. How to catch it? A report of two cases." Medicina 43, no. 6 (2007): 478. http://dx.doi.org/10.3390/medicina43060059.

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Objective. The purpose of this article is to present two cases of penetrating gunshot injuries to the lumbar spine with migration of the bullets within the dural sac and to describe the method of removal of the bullet from the dural sac. Material and methods. Two cases of penetrating gunshot injuries to the lumbar spine with migration of the bullets within the dural sac are presented. Clinical course, diagnostic tools, and management of two patients who suffered from these injuries are illustrated. The method of removal of the bullet from the dural sac is described too. Results. The wounds in

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Friedman, Ariella A., Quoc-Dien Trinh, Sanjeev Kaul, and Akshay Bhandari. "Complete endoscopic management of a retained bullet in the bladder." Canadian Urological Association Journal 7, no. 1-2 (2013): 143. http://dx.doi.org/10.5489/cuaj.258.

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A 25-year-old male gunshot victim presented at our institution with gross hematuria following Foley catheter insertion. Computed tomography and cystogram did not show a bladder perforation, but were notable for a left ischial fracture and the presence of a bullet within the bladder. After failed attempts at retrieving the bullet with a resectoscope and loop, as well as a cystoscope and stone crusher, a 26 French nephroscope was inserted transurethrally, and the bullet was successfully engaged and removed using a Perc NCircle (Cook Medical, Bloomington, IN) grasper. The extraperitoneal injury w

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Chai, Yan Yu, Sharifah Intan Safuraa, Yogesvaran Kanapaty, and Mohamad Doi. "Late endoscopic removal of a bullet in the orbital apex." International Journal of Otorhinolaryngology and Head and Neck Surgery 10, no. 1 (2024): 113–16. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20240070.

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We report a case of gunshot injury causing bullet embedded in the left orbital apex via entry point at left eyebrow with immediate left visual impairment. The exact location of bullet was identified using computerized tomography scan and the bullet was removed via endoscopic approach. The case showed the management of bullet removal with endoscopic guidance to minimise the injury to adjacent structure and for better cosmetic outcome without any external incision to the face. In the current case report the bullet was removed via endoscopic approach. Endoscopic removal of bullet in the orbital a

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Ojukwu, Disep I., Timothy Beutler, Carlos R. Goulart, and Michael Galgano. "Bullet retrieval from the cauda equina after penetrating spinal injury: A case report and review of the literature." Surgical Neurology International 12 (April 14, 2021): 163. http://dx.doi.org/10.25259/sni_238_2021.

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Background: When gunshot injuries occur to the spine, bullet fragments may be retained within the spinal canal. Indications for bullet removal include incomplete spinal cord injury, progressive loss of neurologic function including injury to the cauda equina, and dural leaks with impending risk of meningitis. Case Description: Here, we present a 34-year-old male with a missile penetrating spinal injury to the cauda equina. In addition to the computed tomography scan demonstrating retention of a bullet in the left L1/2 disc space, the scan suggested likely dural injury. The patient underwent a

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Shahid Ayub, Sohail Amir, Mushtaq, Imran Khan, and Muhammad Nasir. "Incidence, Pattern, and Outcome of Stray Bullet Injuries: Three Years’ Experience in a Teaching Institute." Pakistan Journal Of Neurological Surgery 26, no. 3 (2022): 521–28. http://dx.doi.org/10.36552/pjns.v26i3.788.

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Objectives: The purpose of this study is to better define the incidence, pattern, and outcome of a stray bullet. Materials & Methods: The current study summarizes the data on stray bullet injuries presented to the Emergency Department (ED) Hayatabad Medical Complex, Peshawar. A total of 24 subjects were included for three years. We enrolled all patients who had head or spine injuries caused by a stray bullet. Data were extracted on demographic profile, site of injury, operative procedure, complication, and mortality, and were recorded on prescribed proforma. Results: A total of

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Haseeb, Abdul, and Liaqat Ali. "When the Bullet Finds the Only Kidney: A rare happening of a stray bullet embedded in solitary functioning kidney." Pakistan Journal of Urology (PJU) 1, no. 02 (2024): 71–73. http://dx.doi.org/10.69885/pju.v1i02.42.

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Genitourinary trauma as a result of penetrating injury by gunshot wound occurs in about ten per cent. A bullet left in a solitary functioning kidney is extraordinarily rare. We report the case of a young patient who suffered a gunshot injury with that very rare situation--a bullet remaining in his only operational kidney for years and inflected calculus which had grown over it. After successful endoscopic percutaneous lithotripsy, the bullet was retrieved from the patient's urinary bladder. Key Words: PCNL, Renal Stone, Fire-arm injury

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Dimitrov, Nikolay, Valentin Yotovski, Aleksandar Timev, Velko Ivanov, and Ivan Lilyanov. "Migrated bullet in the bladder presenting 30 years after a gunshot wound to the gluteal region." Srpski arhiv za celokupno lekarstvo, no. 00 (2025): 52. https://doi.org/10.2298/sarh250226052d.

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Introduction. In current practice, genitourinary trauma secondary to gunshot wounds are relatively rare. Even less common is the migration of a bullet decades after the trauma with a few cases described in the literature. This article illustrates the sporadic occurrence of bullet migration into the urinary system. It underscores the im-portance of prompt diagnosis and timely treatment as the time period from the trauma occurrence until trauma on-set can be extremely long. Case outline. We present a case of a retained bullet that migrated into the bladder 30 years after the injury in the glutea

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Zivkovic, Vladimir, Fehim Jukovic, and Slobodan Nikolic. "Bullet embolism in a case of homicide: Case report." Srpski arhiv za celokupno lekarstvo 141, no. 3-4 (2013): 242–46. http://dx.doi.org/10.2298/sarh1304242z.

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Introduction. Bullet embolism is a special form of embolism, where embolus is either a bullet or its fragment. Bullet penetrates through the injured part of the body into circulation and then travels to a distant part of the body, until it gets blocked in a vessel of the same diameter as the bullet. Case Outline. We are presenting a case of gunshot injury in a 26?year?old male, found unconscious on the passenger seat, with the gunshot injury of the right hand and hemithorax, who died two hours after admission to hospital. Post?mortem X?ray revealed the presence of a metallic foreign body - a b

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Fesenko, Ievgen. "Rubber Bullet-Induced Wound of the Cheek." Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology 6, no. 4 (2022): 67–68. http://dx.doi.org/10.23999/j.dtomp.2022.4.4.

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A 23-year-old male was directed to the Kyiv Regional Clinical Hospital on January 19, 2014 due to severe left cheek injury (Panel A). The patient arrived at ~09:40 p.m. conscious and with a gauze bandage on his left cheek soaked in blood. Oral mucosa was not damaged. Crowns of the teeth were uninjured. The margins of the wound looked lacerated but vital, without characteristic powder burn. A skin and subcutaneous tissue defect measured ~1.5 × 1.5 cm in size was noted. The initial wound debridement was performed under the local anesthesia. The depth of the wound reached ~0.5 cm with no evidence

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Etaiwi, Al-Mutasim B., Mustafa Ismail, Teeba A. Al-Ageely, et al. "Retrograde cranio-orbital penetrating injury: A case report." Surgical Neurology International 14 (January 13, 2023): 11. http://dx.doi.org/10.25259/sni_918_2022.

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Background: Transorbital (Orbito-cranial) injuries are uncommon, but they are among the most debilitating types of traumatic brain injury (TBI), mainly caused by high-velocity gunshot wounds. In addition, the management of transorbital TBI is well documented in the literature. In contrast, the cranio-orbital migration of a bullet following TBI is rarely reported. In this article, we report a reverse cranio-orbital penetration of a bullet after a TBI from the occiput with a discussion about its management. Case Description: A 34-year-old male presented with a loss of consciousness to the emerge

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Geyer-roberts, Elizabeth, Shelley Warner, and Ruchi Amin. "Retained Intra-abdominal Rifle Cartridge in a Pediatric Patient." Pediatric Academic Case Reports 4, no. 1 (2025): 12–15. https://doi.org/10.61107/pacr.2024.142.

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Firearms are the leading cause of death in children and adolescents in the United States, surpassing motor vehicle accidents. Gunshot wounds, specifically those of high-velocity firearms, are associated with catastrophic blast injuries to multiple organs and vasculature, leading to a high percentage of operative intervention. Occasionally, a bullet may miss all vital organs and become lodged in the body. In stable patients with retained bullets, as long as the bullet is not intraarticular, intrabursal, or in weight-bearing areas close to the skin, the management is usually to leave the bullet

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Tsymbaliuk, V., I. Lurin, K. Gumeniuk, et al. "Modeling of wound ballistics in biological tissues simulators." Medicni perspektivi 28, no. 1 (2023): 37–48. http://dx.doi.org/10.26641/2307-0404.2023.1.275866.

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Modern weapons cause severe damage, accompanied by high rates of complications and mortality. The investigation of such kinds of weapons is in high demand considering the ongoing active phase of russia's war against Ukraine since February 2022. In order to understand the pathological processes that occur in and outside the gunshot wound, we conducted an experimental study using mathematical simulation. The results presented in the article will help to choose the appropriate surgical management and improve the results of treatment. The aim of this study was to investigate and evaluate the damag

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Gulur, Padma. "Spinal Cord Stimulation for Radicular Pain Following Retained Bullet in the Spinal Canal." Pain Physician 2;16, no. 2;3 (2013): E103—E106. http://dx.doi.org/10.36076/ppj.2013/16/e103.

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We are reporting on the implantation of a spinal cord stimulator to treat intractable radicular pain following a retained bullet fragment in the spinal canal. Such retained fragments are associated with risks including pain, neurological deficit, infection, toxic effects, and migration. Our patient was a young man with radicular pain and history of a gunshot entering the abdomen. Computed tomography of the spine had revealed a nearly complete bullet in the right paracentral canal at L4, partially extending into the lateral recess. He presented 17 months after his injury with gradually worsenin

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Kaya, Adnan, Emine Caliskan, Mustafa Adem Tatlisu, et al. "A Retained Bullet in Pericardial Sac: Penetrating Gunshot Injury of the Heart." Case Reports in Cardiology 2016 (2016): 1–4. http://dx.doi.org/10.1155/2016/2427681.

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Penetrating cardiac trauma is rarely seen but when present there is a short time lag to keep the patients alive. Cardiac gunshot injuries are exceptional and it occurs mostly during interpersonal disagreements casualties or a mistakenly fired gun nowadays. Here we present a case of cardiac gunshot injury from the war of Kobani, Syria. The patient was mistakenly diagnosed to have a sole bullet in the left shoulder while he had a penetrating cardiac trauma with a bullet in the heart and pericardial effusion possibly giving rise to pericardial tamponade. Luckily the cardiac gunshot injury was not

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Iverson, Katherine R., Eleanor Curtis, Ian E. Brown, Edgardo S. Salcedo, and John T. Anderson. "New fragmenting bullet leads to unexpected injury pattern: A case report involving the Radically Invasive Projectile." Trauma 21, no. 1 (2018): 73–76. http://dx.doi.org/10.1177/1460408618759365.

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New developments in bullet technology are challenging what is commonly known about penetrating injuries from gunshot wounds. The so-called ‘bullet-rule’ posits the number of wounds and projectiles associated with a patient should add to an even number. This trauma paradigm is being shattered by the advent of new fragmenting projectiles. These frangible rounds break into several pieces after soft tissue penetration changing the expected trajectory, injury location, and extent of tissue damage. In this case report, the authors describe the case of a 15-year-old boy injured by a G2 Radically Inva

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Reilly, Megan, Joshua Luginbuhl, and Joseph Thoder. "Retained Missile to the Foot and Ankle: When Should They Come Out?" Foot & Ankle Orthopaedics 4, no. 4 (2019): 2473011419S0035. http://dx.doi.org/10.1177/2473011419s00355.

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Category: Trauma Introduction/Purpose: Gunshot wounds are common injuries encountered by orthopaedists in urban settings. Retained missiles can lead to significant morbidity and functional impairment. Despite the potential for adverse sequelae, controversy remains regarding the role of routine bullet removal. Suggested indications for bullet removal include those leading to infection and lead toxicity. Bullets located in the palm of the hand, sole of the foot, or intraarticularly are commonly removed as well. Given the unlikeliness of a retained missile sparing the many joints or sole of the f

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Doud, Andrea N., Michael H. Hines, and Thomas Pranikoff. "Management of Venous Bullet Embolus in a Child." American Surgeon 80, no. 9 (2014): 832–33. http://dx.doi.org/10.1177/000313481408000909.

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Ali, Rohaid, Jonathan Poggi, Cody A. Doberstein, Albert S. Woo, and Adetokunbo A. Oyelese. "Rubber Bullet Induced Traumatic Brain Injury." Journal of Craniofacial Surgery 32, no. 6 (2021): 2189–92. http://dx.doi.org/10.1097/scs.0000000000007733.

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Nguyen, Peter, Jitsupa Sirinit, David Milia, and Christopher Stephen Davis. "Management of intracardiac bullet embolisation and review of literature." BMJ Case Reports 15, no. 3 (2022): e247252. http://dx.doi.org/10.1136/bcr-2021-247252.

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Vascular injury is a common complication in firearm injuries; however, intravascular missile embolism is relatively rare. There are only 38 documented cases of intravascular missile embolisation to the heart. Bullet embolisms are difficult to diagnose even with multiple diagnostic modalities and even once identified, the most optimal choice of surgical management is debated. Our patient presented with a gunshot wound to the right posterior shoulder. Cardiac focused assessment with sonography for trauma, chest X-ray, CT and echocardiogram were performed, showing missile location adjacent to the

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Marlor, Derek, Miriam Crandall, Meredith Elman, et al. "Misplaced Evidence, Missed Opportunities: Protocols for Handling Ballistic Evidence in Pediatric Patients." Journal of Trauma Nursing 31, no. 1 (2024): 40–48. http://dx.doi.org/10.1097/jtn.0000000000000761.

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BACKGROUND: Gun-related injury is now the number one cause of death in pediatric trauma patients. Many hospitals lack dedicated forensic nurses or updated protocols for handling ballistic evidence. Evidence not collected, handled improperly, or misplaced may deny a victim the basic human right to justice. OBJECTIVE: This article aims to describe an initiative to highlight the importance of proper management of ballistic evidence and to educate medical providers on best practices for the documentation, handling, removal, and transfer of ballistic evidence. METHODS: After discovering 24 “orphane

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Ulusoy Tangül, Sevgi, and Atilla Şenaylı. "Bullet lung injury in adolescent: a case report." Journal of Radiology in Medicine 1, no. 2 (2024): 31–33. http://dx.doi.org/10.51271/jrm-0009.

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Gunshot injuries to adolescents involve a proportionate minority of the overall injury population. Especially thorax bullet injuries are even less common. This report aimed to express our experience by sharing the clinical process of our patient with this injury. A fourteen-year-old female patient was injured by a gunshot from a distance of approximately 10 meters while she was in the garden. It was understood that the bullet entry hole was from the scapular supraspinatus region towards the clavicle and the apex of the left lung. It was determined that the exit hole was in the hemithorax regio

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Amitkumar Babulal, Gamit, Suniti Kumar Saha, Kaushik Roy, and Abhirup Chakraborty. "Gunshot Injury with Intraspinal Intradural Location of a Bullet." International Journal of Science and Research (IJSR) 12, no. 10 (2023): 1460–63. http://dx.doi.org/10.21275/sr231019193548.

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Lovasik, Brendan P., Christopher L. Nauser, Nathan J. Klingensmith, and Jonathan H. Nguyen. "Bullet Embolism into the Common Iliac Artery from a Gunshot Wound to the Heart." American Surgeon 88, no. 5 (2021): 1014–15. http://dx.doi.org/10.1177/00031348211069794.

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We describe the management of bullet embolism from a penetrating cardiac injury, including the clinical, radiographic, and operative considerations in this challenging trauma scenario. Bullet embolism represents a rare but complex subset of ballistic penetrating trauma, and highlights the importance of radiographic correlation with intraoperative findings.

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O'Brien, Matthew, and Lawrence Diebel. "Hydrogen peroxide irrigation as an adjunct to digital rectal examination for detection of penetrating low rectal injuries." Trauma Surgery & Acute Care Open 9, no. 1 (2024): e001432. http://dx.doi.org/10.1136/tsaco-2024-001432.

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BackgroundRectal trauma carries significant morbidity, particularly if there is a delay in diagnosis. Digital rectal examination has a relatively low sensitivity. Proctoscopy and sigmoidoscopy are available but can be limited in situations with increased fecal burden or uncooperative patients. We suggest more sensitive bedside techniques are necessary to diagnose low rectal injury, and here present a case report to demonstrate proof of concept using hydrogen peroxide to directly visualize an injury.MethodsDigital rectal examination was performed in a patient after multiple gunshot wounds and w

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Aljuboori, Zaid. "Surgical removal of a spinal intrathecal projectile led to a significant improvement of cauda equina syndrome." Surgical Neurology International 11 (August 1, 2020): 227. http://dx.doi.org/10.25259/sni_434_2020.

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Background: Penetrating gunshot wounds of the spine are common and can cause severe neurological deficits. However, there are no guidelines as to their optimal treatment. Here, we present a penetrating injury to the lower thoracic spine at the T12 level that lodged within the canal at L1, resulting in a cauda equina syndrome. Notably, the patient’s deficit resolved following bullet removal. Case Description: A 29-year-old male sustained a gunshot injury. The bullet entered the right lower chest, went through the liver, entered the spinal canal at T12, fractured the right T12/L1 facet, and sett

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Athina Zarachi, Ioannis Komnos, Victoria Tsoumani, et al. "Removal of a bullet lying between carotid arteries, following a gunshot injury." International Journal of Science and Research Archive 3, no. 2 (2021): 146–50. http://dx.doi.org/10.30574/ijsra.2021.3.2.0153.

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Gunshot injuries can be very threatening to the patient's life. A bullet in the neck area after a gunshot usually causes tissue damage and bleeding because of the presence of vital structures in this region. We present the case of a young man that arrived emergently to our hospital because of gunshot injury in the right neck area and the right shoulder. He was hemodynamically stable, with no laryngeal edema or hematoma. The cervical radiography showed a foreign body lying on the right side of the spine, in front of the third cervical vertebra. The CT scanning revealed a metallic foreign body,

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Punch, L. J., and Patrick Lee. "Cutting without a knife: reflections of a surgeon in healing." Trauma Surgery & Acute Care Open 10, Suppl 2 (2025): e001581. https://doi.org/10.1136/tsaco-2024-001581.

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Traumatic injury imparts a physical and emotional response not only to the patients but also to the providers caring for this select population. The traumatic injuries to patients who require hospitalization are most often discussed, but there are a significant number of patients who experience bullet-related injuries that are seen at a trauma center but who do not have injuries that require intervention or hospitalization. Often, these patients are discharged and potentially followed up in the outpatient setting. There are a myriad of physical and emotional consequences to bullet-related inju

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McEvenue, Giancarlo, Anastasia Oikonomou, Noah Ditkofsky, and Joan Lipa. "Life-Saving Silicone Breast Implant After Firearm Injury: Case Report and Treatment Recommendations." Plastic Surgery Case Studies 6 (January 1, 2020): 2513826X1989882. http://dx.doi.org/10.1177/2513826x19898821.

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Breast augmentation with silicone implants is one of the most commonly performed operations by plastic surgeons. Here, we report a case of a 30-year-old female patient with a ballistic injury to bilateral breast implants, where the silicone implant was likely responsible for deflecting the bullets trajectory and saving the women’s life. Ballistics analysis of bullet trajectory was performed with high-resolution computed tomography scan analysis. Operative management was implant removal, pocket irrigation, and a short course of antibiotics. A literature review was performed on all previously pu

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Bansal, Sandeep, and Neha Chauhan. "Foreign Body (Bullet) in Maxilla." Journal of Postgraduate Medicine, Education and Research 50, no. 1 (2016): 30–32. http://dx.doi.org/10.5005/jp-journals-10028-1188.

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ABSTRACT Foreign bodies in the maxillary sinus are not unusual findings. Many cases have been reported so far with foreign bodies like tooth, dental amalgam, chopstick, matchstick, guttapercha point, etc. This paper reports a case of bullet injury with a lodged bullet in maxillary sinus and was retrieved by Caldwell-Luc approach with no intraoperative and postoperative complications. How to cite this article Bansal S, Chauhan N, Gupta AK. Foreign Body (Bullet) in Maxilla. J Postgrad Med Edu Res 2016;50(1):30-32.

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Metress, Eileen K., and Seamus P. Metress. "The Anatomy of Plastic Bullet Damage and Crowd Control." International Journal of Health Services 17, no. 2 (1987): 333–42. http://dx.doi.org/10.2190/08gn-wr79-x908-8ye0.

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The plastic bullet was introduced into Northern Ireland as a riot control weapon in 1973. It became fully operational in 1975, replacing its predecessor the rubber bullet. The missile, which has been portrayed as a “minimum force,” nonlethal weapon, has resulted in 13 deaths, including those of seven children, and scores of serious, permanent injuries and disabilities. Evidence regarding injury inflicted by the plastic bullet indicates that it is more dangerous than the rubber bullet that it replaced. It tends to cause more serious injuries to the skull and brain and therefore more deaths. An

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Anwar, Zofishan, Erum Shakeel, Shahan Waheed, and Muhammad Baqir. "Unusual trajectory of a bullet from the shoulder to the brain: an emergency department perspective on finding a missing bullet." BMJ Case Reports 17, no. 5 (2024): e259738. http://dx.doi.org/10.1136/bcr-2024-259738.

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Terminal ballistics continues to struggle with bullet trajectory reconstruction and interpretation. This is a case of a young man presented with a very unusual trajectory of a bullet from the left shoulder to the brain parenchyma. The single wound and altered mentation prompted a CT head and neck scan, which revealed a retained bullet in the brain parenchyma, traversing from the left shoulder, across the neck and into the brain without causing significant damage to vital organs. We managed the patient conservatively. Emergency physicians dealing with gunshot injuries should thoroughly search f

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Gajbhiye, Ashok S., M. N. Deshmukh, Parag Jaipuriya, et al. "Survival abdominal gunshot injury: a rare case." International Surgery Journal 5, no. 5 (2018): 1935. http://dx.doi.org/10.18203/2349-2902.isj20181612.

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A 55 years old male patient came to the casualty of a medical college and hospital with alleged history of assault with firearm injury on his back. Patient was conscious with GCS 15/15, his pulse rate was 133 beats per min, blood pressure was 100/60 mmHg, SpO2 was 95% and pallor was present. On local examination there was single entry wound at lower back on left side of size 1 cm X 1 cm with no exit wound. Generalized abdominal tenderness and guarding was present. Patient was immediately resuscitated. Blood grouping, cross match were sent immediately. Abdominal radiograph did not show any gas

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Kumar, Raj, Pallav Garg, Vijendra Maurya, Rabi Narayan Sahu, and AK Mahapatra. "Spontaneous bullet migration- uncommon sequelae of firearm injury to the brain." Indian Journal of Neurotrauma 05, no. 02 (2008): 119–21. http://dx.doi.org/10.1016/s0973-0508(08)80014-7.

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AbstractAn important though uncommon complication of retained missiles is that of spontaneous migration. A 22 years young man presented to us with alleged firearm injury to head. The bullet migration was evident on the third day after injury when it was seen lying in the left posterior occipital region as compared to previous posterior frontal location. Softening of contused cerebrum along the missile tract and free weight of the bullet due to gravity were probably responsible for the bullet migration in this case. The patient underwent surgical exploration and progressively recovered. This ca

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du Toit-Prinsloo, L., N. K. Morris, and G. Saayman. "Tandem bullet injury: an unusual variant of an unusual injury." Forensic Science, Medicine, and Pathology 10, no. 2 (2013): 262–65. http://dx.doi.org/10.1007/s12024-013-9506-7.

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Saxena, Rohit, GazellaB Warjri, Abhijeet Beniwal, Vimal Vashistha, Sanjay Sharma, and Rebika Dhiman. "Bilateral blindness with a single bullet injury." Indian Journal of Ophthalmology - Case Reports 2, no. 4 (2022): 959. http://dx.doi.org/10.4103/ijo.ijo_380_22.

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Gurung, Dipendra, Binod Sherchan, and Nilam Khadka. "A Case of Bullet Injury of Spine." Nepal Journal of Neuroscience 14, no. 1 (2017): 25–27. http://dx.doi.org/10.3126/njn.v14i1.20664.

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Ketkar, M., V. Kamat, G. Agrawal, and S. Navani. "Intercostal pulmonary hernia after a bullet injury." American Journal of Roentgenology 162, no. 3 (1994): 728. http://dx.doi.org/10.2214/ajr.162.3.8109529.

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Matsui, Yuuki, Sena Iguchi, Emiri Sato, et al. "Atypical Gunshot Injury Traversing the Neck with an Unexpected Nonlinear Bullet Trajectory: a Case Report and Review of the Literature." SN Comprehensive Clinical Medicine 3, no. 2 (2021): 765–71. http://dx.doi.org/10.1007/s42399-021-00760-3.

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AbstractGunshot injuries involving the head and neck region yield profound morbidity and mortality rates. Projectile-related factors comprising various physical and dynamic properties of a bullet, as well as tissue-related factors, determine the disruptive effects of projectiles on living tissues. We experienced an extremely unusual case of a gunshot injury to the neck, wherein the bullet transversely penetrated across the deep neck structures to the contralateral side of the shoulder without damaging any vital organs. A 51-year-old man presented with a gunshot wound to the neck from a point-b

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Acharya, Jenash, Geshu Lama, Malshree Ranjitkar, and Arbin Shakya. "Craved by heart, carved next to it: Ballistic report of a souvenir bullet casing." Journal of Kathmandu Medical College 8, no. 1 (2019): 44–48. http://dx.doi.org/10.3126/jkmc.v8i1.25269.

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A bullet which has been lodged in the body encapsulated by dense fibrous tissue for a long time without causing ill effects is a souvenir bullet. The bullet cartridge is divided into 3 parts: bullet, cartridge case holding bullet with gun powder and detonator at the base. Medicolegal consultation was done with Forensic Medicine Department where cartridge case acted as projectile and accidentally got embedded into the chest of the victim. In an attempt of making an ornament from the casing of bullet which was separated from bullet mechanically and gunpowder was partially removed from the bullet

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Kadhum kredi, Usama. "Brachial artery injury in AL-Diwaniya teaching Hospital." AL-QADISIYAH MEDICAL JOURNAL 10, no. 18 (2017): 29–36. http://dx.doi.org/10.28922/qmj.2014.10.18.29-36.

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Aim: to focus on the management of brachial artery injury and it's sequelae .Methods: This is a prospective study of 80 patients admitted at Al-Diwaniya Teaching Hospital from 1st April , 2004 to 30th April, 2007 . All patients were prepared for surgical intervention under general anesthesia and proceed for arterial repair. Results: The most common mechanism of injury was bullet injury (50%) , followed by blunt (27.5%) , stab wounds (16.25%) , iatrogenic factors (5%) and rarely by thermal injury .The technique of repair was by venous graft in the majority of cases (60%) and we needed arteriorr

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Bere, Bernadette, Salam Ouedraogo, Moussa Kabore, et al. "Gastrointestinal Bullet Embolism with Spontaneous Expulsion of the projectile." Pediatric Surgery in Tropics 1, no. 3 (2024): 150–53. https://doi.org/10.5281/zenodo.12681025.

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A 5-year-old girl was admitted with signs of peritonitis following gunshot injury ofthe abdomen. At laparotomy, a perforation of 1.5 cm diameter on the greatercurvature of stomach was noted. Intraoperatively the projectile could not be locatedand hence gastrorrhaphy was performed. Postoperatively, a plain abdominalradiograph revealed the presence of a projectile in the abdomen. The patientresumed intestinal motility with diarrhea on the postoperative day-4. The bullet wasspontaneously expelled during defecation on the postoperative day-7 and thediarrhea resolved on the postoperative day-11. Ga

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O'Connor, James V., James M. Haan, and Joshua L. Wright. "Spent Bullet in the Bronchus." American Surgeon 72, no. 4 (2006): 345–46. http://dx.doi.org/10.1177/000313480607200414.

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Penetrating tracheal trauma, although infrequent, varies from minor to life-threatening injuries. Serious injury often results from airway compromise or significant associated esophageal or vascular trauma. Tracheal injuries resulting in a retained ballistic fragment in the airway have been infrequently reported. We report the successful treatment of a patient with a gunshot wound to the anterior cervical trachea resulting in a spent bullet lodged in the left lower lobe bronchus.

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