Shotgun wound and pellet embolism to the intracranial carotid artery.

Internal carotid artery embolism by shotgun pellet.

Various examples of foreign body embolization of cerebral arteries, usually followed by serious consequences, have been reported (Lindberg et al., 1961; Chason et al., 1963; Steele et al., 1972; Wetli et al., 1972). However, a shotgun pellet entering the left atrium of the heart through a gunshot wound of the chest with subsequent embolic occlusion of one of the carotid arteries appears to be u...

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...

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...

Shotgun pellet embolization to the posterior cerebral circulation.

The embolization of missiles to the intracranial circulation is a rare event. We describe here a case of a man shot by a shotgun, presenting with a posterior fossa stroke and occlusion of the superior cerebellar artery by a metallic pellet. To our knowledge, this is the third case of posterior fossa circulation pellet emboli.

A Penetrating Pellet Jeopardizing Internal Carotid Artery