Bullet Removal

Ronald Simon Traumamd at nyc.rr.com
Tue Aug 7 00:07:47 BST 2007


Never heard of a bullet eroding years later. Always assumed that the 
ones that presented soon after injury were not erosions but were 
pseudo-aneuysms that ruptured. If they did erode wouldn't that 
necessitate the removal of thousands of near misses.
What do you think?
ron simon

Andrew J Bowman wrote:
> I was reading some of the recent postings at trauma.org website.
>
> There was one posting about the retro-aortic bullet that was left in place.
>
> Is there ever a concern about eventual erosion of the bullet into the nearby
> vascular structures?
>
> I had a patient in my past who had suffered a GSW in his youth. He presented
> to my ER late at night with abdominal pain and hypotension. CT showed
> massive hemoperitoneum.
>
> OR showed that bullet had eroded into the IVC.
>
> Thanks,
>
> Andrew Bowman
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