{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:27:39Z","timestamp":1786739259038,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Bullet embolism (BE) is a rare and misdiagnosed phenomenon that can significantly affect the cardiovascular system. It occurs when a bullet enters and migrates through the body vessels in gunshot victims. We report in this article a case of a 25-year-old male patient, victim of penetrating trauma caused by a firearm projectile that presented two embolism destinations with acute ischemic repercussions: the right brachial artery and the branches of the superior mesenteric artery. We quickly performed surgical exploration to assess the level of ischemia and resect the foreign body. To the best of the authors' knowledge, this is the only case of acute vascular abdomen due to BE in the literature. There is no standard treatment for BE, and each case should be studied according to signs and symptoms while considering the risks of the destination vessel for the victim. Imaging is necessary for early diagnosis, and the medical team must be aware of multiple and extraordinary critical ischemia presentations when bullet trajectory suggests embolism.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/2452-2473.320804","type":"journal-article","created":{"date-parts":[[2021,7,7]],"date-time":"2021-07-07T00:39:06Z","timestamp":1625618346000},"page":"125-128","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Multiple sites bullet embolism as a cause of acute abdomen"],"prefix":"10.4103","volume":"21","author":[{"given":"B\u00e1rbara L\u00f4bo","family":"de Figueir\u00eado","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priscylla Jennie","family":"Monteiro Rab\u00ealo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adercio Pereira","family":"da Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz Eduardo","family":"Rafael Moutinho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olival Cirilo","family":"Lucena da Fonseca Neto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-7-20240909","doi-asserted-by":"crossref","first-page":"e307","DOI":"10.1093\/milmed\/usx191","article-title":"Management of bullet emboli to the heart and great vessels","volume":"183","author":"Yoon","year":"2018","journal-title":"Mil Med"},{"key":"R2-7-20240909","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1097\/00005373-197804000-00002","article-title":"Missile emboli","volume":"18","author":"Rich","year":"1978","journal-title":"J Trauma"},{"key":"R3-7-20240909","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1016\/j.jvs.2019.02.004","article-title":"Systematic review of civilian intravascular ballistic embolism reports during the last 30 years","volume":"70","author":"Kuo","year":"2019","journal-title":"J Vasc Surg"},{"key":"R4-7-20240909","first-page":"239","article-title":"Bullet emboli to the systemic and venous circulation","volume":"107","author":"Michelassi","year":"1990","journal-title":"Surgery"},{"key":"R5-7-20240909","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1097\/00000433-199212000-00004","article-title":"Renal artery bullet embolism","volume":"13","author":"Guileyardo","year":"1992","journal-title":"Am J Forensic Med Pathol"},{"key":"R6-7-20240909","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1097\/00000433-199606000-00013","article-title":"Portal vein embolization following shotgun-pellet injuries to the abdomen","volume":"17","author":"Yates","year":"1996","journal-title":"Am J Forensic Med Pathol"},{"key":"R7-7-20240909","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1007\/s00068-011-0170-x","article-title":"Indications for bullet removal: Overview of the literature, and clinical practice guidelines for European trauma surgeons","volume":"38","author":"Dienstknecht","year":"2012","journal-title":"Eur J Trauma Emerg Surg"},{"key":"R8-7-20240909","first-page":"67","article-title":"Peripheral arterial emboli due to bullet projectile: Diagnosis confirmed by vascular ultrasound","volume":"11","author":"Morais Filho D","year":"2012","journal-title":"J Vasc Bras"},{"key":"R9-7-20240909","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1097\/00000658-196307000-00013","article-title":"Bullet embol\u0131sm to the r\u0131ght ax\u0131llary artery follow\u0131ng gunshot wound of the heart","volume":"158","author":"Saltzste\u0131n","year":"1963","journal-title":"Ann surg"},{"key":"R10-7-20240909","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/j.injury.2010.08.006","article-title":"The evolving management of venous bullet emboli: A case series and literature review","volume":"42","author":"Miller","year":"2011","journal-title":"Injury"}],"container-title":["Turkish Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/2452-2473.320804","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:27:19Z","timestamp":1786735639000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/2452-2473.320804"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/2452-2473.320804","relation":{},"ISSN":["2452-2473"],"issn-type":[{"value":"2452-2473","type":"print"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}