case_images: PMC10900316_01
case_images: X-ray revealing a metallic fragment overlying the left hilum with depiction of the bullet wounds. There is one anterior wound in the left mid-supraclavicular region (red dot). Two left-sided posterior wounds are depicted with green dots with one in the superior mid-scapular region and another along the posterior midaxillary region at about the level of the third rib.
case_images: tsaco-2024-001368f01.jpg
case_images: PMC10900316_01_tsaco-2024-001368f01.jpg
case_images: F1
case_images: On the left side, the patient had three gunshot wounds in the mid-supraclavicular, superior mid-scapular, and posterior midaxillary regions (figure 1).
case_images: CT angiography coronal section showing a large pseudoaneurysm measuring 2.5x2.22 cm with probable extravasation.
case_images: tsaco-2024-001368f02.jpg
case_images: PMC10900316_01_tsaco-2024-001368f02.jpg
case_images: F2
case_images: On the right side, the patient had a palpable thrill at the right neck and supraclavicular region and was found to have a mid-shaft clavicle fracture and a large subclavian artery pseudoaneurysm with concern for active extravasation (figure 2).
case_images: PMC10900316_02
case_images: PMC10900316_03
case_images: PMC10900316_04
case_images: PMC10900316_05
case_images: Three-dimensional reconstruction of CT angiography showing a metallic fragment lodged in the left pulmonary artery.
case_images: tsaco-2024-001368f03.jpg
case_images: PMC10900316_05_tsaco-2024-001368f03.jpg
case_images: F3
case_images: The bullet visualized on initial chest X-ray remained unmoved in a distal branch of the left pulmonary artery throughout the hospital course (figure 3).
case_images: PMC10900316_06