2009
DOI: 10.1590/s0102-76382009000100016
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Abstract: Patients with bullets in the pericardial sac without myocardial injuries are rare, and most commonly are associated with significant trauma. The diagnosis of an intrapericardial foreign body can be difficult. Its removal is always indicated because it prevents pericarditis, either sterile or infectious, with potential for other significant complications. The authors present two cases of a meandering bullet in the pericardial sac and propose approach and perform review of the literature. Descriptors

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Cited by 4 publications
(4 citation statements)
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“…Some authors have advocated removal of retained free intra-pericardial bullet in all patients with complications such as pericarditis and pericardial effusion, while others have managed those patients conservatively 8, 9. In our patient, although the pellet was lying free initially, subsequent serial imaging revealed it to be fixed.…”
Section: Discussionmentioning
confidence: 64%
“…Some authors have advocated removal of retained free intra-pericardial bullet in all patients with complications such as pericarditis and pericardial effusion, while others have managed those patients conservatively 8, 9. In our patient, although the pellet was lying free initially, subsequent serial imaging revealed it to be fixed.…”
Section: Discussionmentioning
confidence: 64%
“…Later presentations of cardiac gunshot injuries and retained bullets include pericarditis, bacterial endocarditis, and pulmonary or systemic embolization of the projectile or thrombus. 3…”
mentioning
confidence: 99%
“…Later presentations of cardiac gunshot injuries and retained bullets include pericarditis, bacterial endocarditis, and pulmonary or systemic embolization of the projectile or thrombus. 3 The management of cardiac gunshot injuries depends on hemodynamic compromise of the patient. Emergent surgical intervention is imperative in the setting of hemorrhagic shock due to blood loss and pericardial tamponade.…”
mentioning
confidence: 99%
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