Conservative management of unusual bullet embolism in the internal iliac vein

Abstract

The embolism by projectile of firearm in the peripheral venous system, is a rare event, in which its diagnosis is often incidental. The embolisms in the venous system are much rarer than in the arterial system, representing only 4% of reported cases. We present the case of a 31-year-old patient with multiple gunshot wounds, one of them in the thorax with initial location of the bullet in the cervical region adjacent to the right internal jugular vein, with subsequent migration to the ipsilateral internal iliac vein. In this case, the patient remained asymptomatic with conservative management.