A Retained Bullet in Pericardial Sac: Penetrating Gunshot Injury of the Heart

Abstract EN

Penetrating cardiac trauma is rarely seen but when present there is a short time lag to keep the patients alive.

Cardiac gunshot injuries are exceptional and it occurs mostly during interpersonal disagreements casualties or a mistakenly fired gun nowadays.

Here we present a case of cardiac gunshot injury from the war of Kobani, Syria.

The patient was mistakenly diagnosed to have a sole bullet in the left shoulder while he had a penetrating cardiac trauma with a bullet in the heart and pericardial effusion possibly giving rise to pericardial tamponade.

Luckily the cardiac gunshot injury was noticed one day later and the patient was referred to a tertiary hospital.

Intrapericardial bullet was conservatively followed up.

The patient was discharged one week later after resection of the bullet in the shoulder.