Tracheal bullet excreted with stools: a rare course of events in airway gunshot injury

  • Nasir ud din Wani Department of Cardiovascular and Thoracic Surgery superspeciality hospital, GMC Srinagar,
  • Farooq Ahmad Ganie Department of Cardiovascular and Thoracic Surgery SKIMS
  • Danish Zahoor Departmemt of Microbiology, GMC Srinagar
  • Yasir Wani Department of J&K Health Services
Keywords: trachea, bullet, Spontaneous expectoration

Abstract

Over the past ten decades, only five cases have been published of firearm injuries of chest with conservative management, who in follow-up expectorated the bullet. We report first case in the history of gunshot injury chest, where bullet was found near posterior-lateral wall of trachea of the patient who eventually expectorated the bullet with subsequent ingestion and excretion with stools. We try to emphasize the role of repeat morning X-ray in these patients.

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Author Biographies

Nasir ud din Wani, Department of Cardiovascular and Thoracic Surgery superspeciality hospital, GMC Srinagar,

M. Ch

Farooq Ahmad Ganie, Department of Cardiovascular and Thoracic Surgery SKIMS

M.Ch

Danish Zahoor, Departmemt of Microbiology, GMC Srinagar

M.D

Yasir Wani, Department of J&K Health Services

M.D

References

1. L.K. Kochhar et al, Gunshot wound neck. Indian journal of otolaryngology and head and neck surgery vol. 56, no. 1, jan-mar 2004
2. Stancie C. Rhodes et al, Expectoration of a bullet after gunshot wound to the chest J Emerg Trauma Shock. 2013 Apr-Jun; 6(2): 135–137.
3. Leslie RM. Spontaneous evacuation of a shrapnel bullet in the lung by expectoration. Br Med J. 1917;2:648–9.
4. Andrews CM, Singh NN, Stewart RW. Bullet aspiration and spontaneous expectoration after gunshot wound to trachea. Mil Med. 2010;175:72–3.
5. Hesami SM, Johari HG. Spontaneous expectoration of an asymptomatic retained intrathoracic bullet. Injury. 2012;43:1219–21.
Published
2021-04-20
How to Cite
1.
Wani N ud din, Ganie FA, Zahoor D, Wani Y. Tracheal bullet excreted with stools: a rare course of events in airway gunshot injury. jms [Internet]. 2021Apr.20 [cited 2026Oct.3];24(1):38-0. Available from: https://old.jmsskims.org/index.php/jms/article/view/810
Section
Case Reports