Bullet Removal

[Richard Wigle MD FACS]

Pseudo anurysm from a venous structure?

Jusrt out of curiosity was the bulletz jacketed, ie was it
coated with bronzing metal?

Dick Wigle
--- Ronald Simon <Traumamd at nyc.rr.com> wrote:

> 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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> >
> >   
> > begin:vcard
> fn:Ronald Simon, MD
> n:;Ronald Simon, MD
> org:Bellevue Hospital Center
> adr;dom:;;550 First Avenue NBV-15S5;New York;NY;10016
> title:Director of Trauma and Surgical Critical Care
> tel;work:212-263-5751
> version:2.1
> end:vcard
> 
> > --
> trauma-list : TRAUMA.ORG
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