Penetrating Pellet Gun Injury to the Neck and Embolization to the Right Ventricle
Background: Air pellet rifles are marketed and available in the United States as toys despite their ability to cause significant injury. Over 360,000 children were seen in the emergency department for penetrating injuries involving nonpowder firearms between 1990 and 2016. Case Summary: We report a...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-07-01
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| Series: | JACC: Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666084925006308 |
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| author | Victoria Fanucci, BS Utkarsh Kohli, MD Federico Seifarth, MD Casey McCluskey, MD Alyssa Fazi, MD Dhaval Chauhan, MD |
| author_facet | Victoria Fanucci, BS Utkarsh Kohli, MD Federico Seifarth, MD Casey McCluskey, MD Alyssa Fazi, MD Dhaval Chauhan, MD |
| author_sort | Victoria Fanucci, BS |
| collection | DOAJ |
| description | Background: Air pellet rifles are marketed and available in the United States as toys despite their ability to cause significant injury. Over 360,000 children were seen in the emergency department for penetrating injuries involving nonpowder firearms between 1990 and 2016. Case Summary: We report a 10-year-old boy with a penetrating injury to the neck, resulting in embolization of the pellet to the right ventricle through the right internal jugular vein. The patient was successfully treated with removal of the pellet by sternotomy. Discussion: Missile embolization through the venous system is usually seen in gunshot wounds below the diaphragm, contrary to what was observed in the patient presented. Given their unpredictable nature, there are no standardized guidelines for managing missile emboli, although retrieval is recommended in most cases. Take-Home Message: There is a need to establish standardized treatment guidelines for missile emboli and educate parents on the dangers of penetrating injuries involving nonpowder firearms. |
| format | Article |
| id | doaj-art-4c2d2554017249d1a8cea13f91c33d04 |
| institution | Matheson Library |
| issn | 2666-0849 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JACC: Case Reports |
| spelling | doaj-art-4c2d2554017249d1a8cea13f91c33d042025-07-04T04:46:54ZengElsevierJACC: Case Reports2666-08492025-07-013017103852Penetrating Pellet Gun Injury to the Neck and Embolization to the Right VentricleVictoria Fanucci, BS0Utkarsh Kohli, MD1Federico Seifarth, MD2Casey McCluskey, MD3Alyssa Fazi, MD4Dhaval Chauhan, MD5West Virginia University School of Medicine, Morgantown, West Virginia, USADivision of Pediatric Cardiology, Department of Pediatrics, West Virginia University School of Medicine and West Virginia University Children’s Heart Center, Morgantown, West Virginia, USA; Address for correspondence: Dr Utkarsh Kohli, Section of Pediatric Cardiology, WVU Medicine Children’s Hospital, 64 Medical Center Drive, Robert C. Byrd Health Science Center, PO Box 9214, Morgantown, West Virginia 26506-9214, USA.Division of Pediatric Surgery, Department of Surgery, West Virginia University, West Virginia University Medicine Children’s Hospital, Morgantown, West Virginia, USADivision of Pediatric Critical Care, Department of Pediatrics, West Virginia University School of Medicine and West Virginia University Children's Heart Center, Morgantown, West Virginia, USADepartment of Anesthesiology, West Virginia University School of Medicine, Morgantown, West Virginia, USADepartment of Cardiovascular and Thoracic Surgery, West Virginia University School of Medicine and West Virginia University Children’s Heart Center, Morgantown, West Virginia, USABackground: Air pellet rifles are marketed and available in the United States as toys despite their ability to cause significant injury. Over 360,000 children were seen in the emergency department for penetrating injuries involving nonpowder firearms between 1990 and 2016. Case Summary: We report a 10-year-old boy with a penetrating injury to the neck, resulting in embolization of the pellet to the right ventricle through the right internal jugular vein. The patient was successfully treated with removal of the pellet by sternotomy. Discussion: Missile embolization through the venous system is usually seen in gunshot wounds below the diaphragm, contrary to what was observed in the patient presented. Given their unpredictable nature, there are no standardized guidelines for managing missile emboli, although retrieval is recommended in most cases. Take-Home Message: There is a need to establish standardized treatment guidelines for missile emboli and educate parents on the dangers of penetrating injuries involving nonpowder firearms.http://www.sciencedirect.com/science/article/pii/S2666084925006308embolizationpelletpellet gunright ventricle |
| spellingShingle | Victoria Fanucci, BS Utkarsh Kohli, MD Federico Seifarth, MD Casey McCluskey, MD Alyssa Fazi, MD Dhaval Chauhan, MD Penetrating Pellet Gun Injury to the Neck and Embolization to the Right Ventricle JACC: Case Reports embolization pellet pellet gun right ventricle |
| title | Penetrating Pellet Gun Injury to the Neck and Embolization to the Right Ventricle |
| title_full | Penetrating Pellet Gun Injury to the Neck and Embolization to the Right Ventricle |
| title_fullStr | Penetrating Pellet Gun Injury to the Neck and Embolization to the Right Ventricle |
| title_full_unstemmed | Penetrating Pellet Gun Injury to the Neck and Embolization to the Right Ventricle |
| title_short | Penetrating Pellet Gun Injury to the Neck and Embolization to the Right Ventricle |
| title_sort | penetrating pellet gun injury to the neck and embolization to the right ventricle |
| topic | embolization pellet pellet gun right ventricle |
| url | http://www.sciencedirect.com/science/article/pii/S2666084925006308 |
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