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August 1962

Bullet Embolus of the Left Femoral Artery: Report of a Case Which Occurred After an Abdominal Gunshot Wound

Author Affiliations

Chief Resident, Second Surgical Department, University of Istanbul.

Arch Surg. 1962;85(2):184-185. doi:10.1001/archsurg.1962.01310020014004

Gunshot wounds of the heart and great vessels usually lead to instantaneous death on account of profuse hemorrhage. On the other hand, in some favorable cases the projectile may enter the blood stream without causing fatal bleeding and may become lodged in one of the peripheral arteries. Cases reported in the literature have not been very numerous. Keeley1 in 1951 collected 22 cases and added one of his own. Among these 23 cases, in 6 the bullet had entered the blood stream through the abdominal aorta and in the remaining 17 through the thoracic wall, the heart, and the thoracic aorta. The following illustrative case is reported because of its rarity.

Report of Case  This 18-year-old white man was admitted to the Second Surgical Department of the University of Istanbul on May 25, 1960, with abdominal pain, nausea, vomiting, and painful cyanosis and swelling of the left leg. Three