Intracranial and chest bullets retained for 35 years - “luck’s always to blame”

Vuk Aleksic ,
Vuk Aleksic
Contact Vuk Aleksic

Department of Neurosurgery, Clinical Hospital Center Zemun , Belgrade , Serbia

Miljan Mihajlovic ,
Miljan Mihajlovic

Department of Neurosurgery, Clinical Hospital Center Zemun , Belgrade , Serbia

Marko Rapaic ,
Marko Rapaic

Department for Special education and rehabilitation of people with motor disorders, Faculty of Special Education and Rehabilitacion , Belgrade , Serbia

Slobodan Savic ,
Slobodan Savic

Institute for Forensic Medicine, School of Medicine, University of Belgrade , Belgrade , Serbia

Dragan Jecmenica ,
Dragan Jecmenica

Institute for Forensic Medicine, Institute for Forensic Medicine, University of Belgrade , Belgrade , Serbia

Perica Jockic ,
Perica Jockic

Department of Urology, Clinical Hospital Center Zemun , Belgrade , Serbia

Milan Spaic ,
Milan Spaic

Department of Neurosurgery, Clinical Hospital Center Zemun , Belgrade , Serbia

Marko Samardzic ,
Marko Samardzic

Department of Neurosurgery, Clinical Hospital Center Zemun , Belgrade , Serbia

Nenad Zivkovic ,
Nenad Zivkovic

Department of Neurosurgery, Clinical Hospital Center Zemun , Belgrade , Serbia

Milenko Stanic ,
Milenko Stanic

Department of Neurosurgery, Clinical Hospital Center Zemun , Belgrade , Serbia

Ognjen Cukic
Ognjen Cukic

Department of Othorinolaringology, Clinical Hospital Center Zemun , Belgrade , Serbia

Published: 01.07.2017.

Volume 33, Issue 2 (2017)

pp. 1518-1522;

Abstract

Head gunshot injures are usually fatal. Elderly patients may have survived penetrating head injuries, since old bullets with lower velocity produce much less damage to brain tissue. We report a case of elderly male patient with mild head injury due to accidentally fall. Patient died a few hours after admission to Emergency Department. Autopsy finding showed one strayed projectile in the posterior horn of left lateral ventricle and one in the soft tissue of right VIII intercostal space. Later we obtained information that patient suffered multiple gunshot wounds about 35 years earlier. However, the cause of death was deterioration of long-term and severe hypertensive and atherosclerotic heart disease.

Keywords

References

1.
Arslan M, Eseoğlu M, Güdü BO, Demir I, Kozan AB. Spontaneous migration of a retained bullet within the brain: a case report. Ulus Travma Acil Cerrahi Derg.
2.
Yamakawa H, Takenaka K, Sumi Y, Morita T, Suhara T, Kato H, et al. Intracranial bullet retained since the Sino-Japanese war manifesting as hallucination--case report.
3.
Alvis-Miranda HR, Adie Villafañe R, Rojas A, Alcala-Cerra G, Moscote-Salazar LR. Management of Craniocerebral Gunshot Injuries: A Review. Korean Journal of Neurotrauma. 11(2):35–43.
4.
Cavaliere R, Cavenago L, Siccardi D, Viale GL. Gunshot wounds of the brain in civilians. Acta Neurochir (Wien. 94(3–4):133–6.
5.
Lin DJ, Lam FC, Siracuse JJ, Thomas A, Kasper EM. Time is brain” the Gifford factor - or: Why do some civilian gunshot wounds to the head do unexpectedly well? A case series with outcomes analysis and a management guide. Surg Neurol Int. 3(98).
6.
Okoye OT, Talving P, Teixeira PG, Chervonski M, Smith JA, Inaba K, et al. Transmediastinal gunshot wounds in a mature trauma centre: changing perspectives. Injury. Sep;44(9):1198-203.
7.
Kim TJ, Goo JM, Moon MH, Im JG, Kim MY. Foreign Bodies in the Chest: How Come They Are Seen in Adults? Korean Journal of Radiology. 2(2):87–96.
8.
Maghsoudi M, Shahbazzadegan B, Pezeshki A. Asymptomatic Intracranial Foreign Body: An Incidental Finding on Radiography. Trauma Monthly. 21(2).
9.
Nosseir M, Farouk O. Conservative Management of Retained Intracranial Pellets in Civilian Gunshot Injuries. Egyptian Journal of Neurosurgery. 30(3):189–94.

Citation

Copyright

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Most read articles

Partners