case_images: PMC7451185_01
case_images: Computed tomography image of the lumbar spine (sagittal view) shows T11,T12, and L1 levels and the bullet inside the canal at the level of L1.
case_images: SNI-11-214-g001.jpg
case_images: PMC7451185_01_SNI-11-214-g001.jpg
case_images: F1
case_images: The CT scan documented the bullet traversed the lung and liver, entered the spinal canal at T12 anterior to the psoas muscle (e.g., resulting in a nondisplaced fracture of the right facet joint), and settled intrathecally at L1 [Figure 1].
case_images: Computed tomography myelogram image of the lumbar spine (axial view) at the level of L1 that shows the bullet inside the thecal sac.
case_images: SNI-11-214-g002.jpg
case_images: PMC7451185_01_SNI-11-214-g002.jpg
case_images: F2
case_images: The CT- myelogram showed the bullet lodged intrathecally at the L1 level, where it compressed the cauda equina [Figure 2].
case_images: Intraoperative microscopic picture (50X) shows the dura, nerve roots and the bullet inside the thecal sac.
case_images: SNI-11-214-g003.jpg
case_images: PMC7451185_01_SNI-11-214-g003.jpg
case_images: F3
case_images: Within 24 h, he underwent an L1 laminectomy/durotomy for bullet removal [Figure 3].