Internal carotid artery embolism by shotgun pellet.

Shotgun wound and pellet embolism to the intracranial carotid artery.

Missile embolism into the cerebral circulation is a very unusual complication of shotgun wounds to the chest or neck. We report a case of an 11-year-old boy who sustained an air gunshot wound and pellet embolism to the intracranial carotid artery. The cerebral artery pellet embolus resulted in contralateral hemiplegia. The patient was successfully treated by emergency flow reversal and embolect...

A Penetrating Pellet Jeopardizing Internal Carotid Artery

Retained Subintimal Pellet in a Carotid Artery

A shotgun pellet is depicted in the present image in a carotid artery under the intima, which remained intact without local complications for up to six months. There is lack of data regarding the natural history of such a carotid pellet, but the experience from the myocardium is that, in the absence of infection, completely embedded missiles are usually asymptomatic, tolerated well and may be l...

Internal carotid artery aneurysm visualized during successful endovascular treatment of carotid embolism.

We herein present a case of an internal carotid artery embolism associated with a hidden internal carotid artery aneurysm. The aneurysm was visualized during successful endovascular treatment of the carotid embolism. In retrospect, the aneurysm was at risk of rupture during the procedure. In the endovascular treatment of cerebral embolism, the possibility that aneurysms are hidden by emboli mus...

Cerebral Embolism After Gunshot Wounds

A 22-year-old man presented with a self-inflicted gunshot wound to the left neck. The rifle used was a .22 caliber filled with multiple small bird-shot pellets . Medical history was noncontributory. Physical examination showed an 8-mm diameter entrance wound in the left posterior oral cavity without active bleeding. Powder burns were present. No exit wound was identified. Except for mild left n...