{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T13:15:23Z","timestamp":1784985323419,"version":"3.55.0"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,5,22]],"date-time":"2022-05-22T00:00:00Z","timestamp":1653177600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,5,22]],"date-time":"2022-05-22T00:00:00Z","timestamp":1653177600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Bullet embolus is a rare condition following gunshot injuries and represents a clinical challenge regarding both diagnosis and management.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We report the case of a 35-year-old Iranian (Middle-Eastern) male patient with a shotgun injury to both buttocks, which traveled to the heart and the popliteal area through the femoral vein and superficial femoral artery, respectively. Surgical intervention was applied for the popliteal pellet, and the patient was discharged without further complications.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Although bullet emboli can be a clinical challenge, with the advent of modern procedures, removal has become safer. X-ray, computed tomography, and transthoracic and\/or transesophageal echocardiography may be used as adjuncts to help establish the diagnosis.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-022-03414-7","type":"journal-article","created":{"date-parts":[[2022,5,21]],"date-time":"2022-05-21T23:02:16Z","timestamp":1653174136000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Simultaneous retrograde venous and anterograde arterial bullet embolism: a case report"],"prefix":"10.1186","volume":"16","author":[{"given":"Ahmad","family":"Hosseinzadeh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Moeini Farsani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamad Mahdi","family":"Mahmoudi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmadreza","family":"Hekmatnia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghdad","family":"Ghasemi Gorji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Majid","family":"Asnaashari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamed","family":"Ghoddusi Johari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5454-495X","authenticated-orcid":false,"given":"Reza","family":"Shahriarirad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,5,22]]},"reference":[{"issue":"4","key":"3414_CR1","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1097\/00005373-197804000-00002","volume":"18","author":"NM Rich","year":"1978","unstructured":"Rich NM, Collins GJ Jr, Andersen CA, McDonald PT, Kozloff L, Ricotta JJ. Missile emboli. J Trauma. 1978;18(4):236\u20139.","journal-title":"J Trauma"},{"key":"3414_CR2","first-page":"243","volume":"78","author":"E Delorme","year":"1917","unstructured":"Delorme E. Sur la chirurgie cardiaque. Bull Acad Med Paris. 1917;78:243\u201369.","journal-title":"Bull Acad Med Paris"},{"issue":"1","key":"3414_CR3","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1016\/j.jvs.2009.06.054","volume":"51","author":"G Aidinian","year":"2010","unstructured":"Aidinian G, Fox CJ, Rasmussen TE, Gillespie DL. Varied presentations of missile emboli in military combat. J Vasc Surg. 2010;51(1):214\u20137.","journal-title":"J Vasc Surg"},{"issue":"10","key":"3414_CR4","doi-asserted-by":"publisher","first-page":"1118","DOI":"10.1097\/00005373-198710000-00004","volume":"27","author":"FL Shannon","year":"1987","unstructured":"Shannon FL, McCroskey BL, Moore EE, Moore FA. Venous bullet embolism: rationale for mandatory extraction. J Trauma. 1987;27(10):1118\u201322.","journal-title":"J Trauma"},{"issue":"9\u201310","key":"3414_CR5","doi-asserted-by":"publisher","first-page":"e307","DOI":"10.1093\/milmed\/usx191","volume":"183","author":"B Yoon","year":"2018","unstructured":"Yoon B, Grasso S, Hofmann LJ. Management of bullet emboli to the heart and great vessels. Mil Med. 2018;183(9\u201310):e307\u201313.","journal-title":"Mil Med"},{"issue":"1","key":"3414_CR6","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1097\/01.TA.0000135490.10227.5C","volume":"57","author":"U Bertoldo","year":"2004","unstructured":"Bertoldo U, Enrichens F, Comba A, Ghiselli G, Vaccarisi S, Ferraris M. Retrograde venous bullet embolism: a rare occurrence\u2014case report and literature review. J Trauma Acute Care Surg. 2004;57(1):187\u201392.","journal-title":"J Trauma Acute Care Surg"},{"issue":"1","key":"3414_CR7","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1016\/S0196-0644(87)80296-2","volume":"16","author":"KL Wallace","year":"1987","unstructured":"Wallace KL, Slovis CM. Hepatic vein bullet embolus as a complication of left thoracic gunshot injury. Ann Emerg Med. 1987;16(1):102\u20134.","journal-title":"Ann Emerg Med"},{"issue":"2","key":"3414_CR8","doi-asserted-by":"publisher","first-page":"619","DOI":"10.1016\/S0003-4975(00)02580-7","volume":"72","author":"L Wales","year":"2001","unstructured":"Wales L, Jenkins DP, Smith PL. Delayed presentation of right ventricular bullet embolus. Ann Thorac Surg. 2001;72(2):619\u201320.","journal-title":"Ann Thorac Surg"},{"issue":"1","key":"3414_CR9","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1097\/00005373-199101000-00027","volume":"31","author":"GS Van Arsdell","year":"1991","unstructured":"Van Arsdell GS, Razzouk AJ, Fandrich BL, Shakudo M, Schmidt CA. Bullet fragment venous embolus to the heart: case report. J Trauma. 1991;31(1):137\u20139.","journal-title":"J Trauma"},{"issue":"1","key":"3414_CR10","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1016\/0003-4975(96)00097-5","volume":"62","author":"SK Gandhi","year":"1996","unstructured":"Gandhi SK, Marts BC, Mistry BM, Brown JW, Durham RM, Mazuski JE. Selective management of embolized intracardiac missiles. 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Am Surg. 1994;60(12):975\u20139.","journal-title":"Am Surg"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-022-03414-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-022-03414-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-022-03414-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,21]],"date-time":"2022-05-21T23:02:34Z","timestamp":1653174154000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-022-03414-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,22]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["3414"],"URL":"https:\/\/doi.org\/10.1186\/s13256-022-03414-7","relation":{},"ISSN":["1752-1947"],"issn-type":[{"value":"1752-1947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,22]]},"assertion":[{"value":"5 January 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 April 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 May 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Written informed consent was obtained from the patients in our study. The purpose of this research was completely explained to the patient, and they were assured that their information would be kept confidential by the researcher. The present study was approved by the Medical Ethics Committee of the academy.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"198"}}