Dr. Srivastava, Sumit
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hi doctor,
My family relative got shot yesterday. As of right now, he still has the bullet inside. The bullet went in through his left ear and did not come back out. I am not sure exactly where inside the bullet is. He is currently hospitalized, but no doctor has come up with a solution. My relative is in severe pain to the point where he starts to shake. I would like a second opinion and want to know what a doctor would do.
Hi,
Welcome to icliniq.com. In penetrating bullet injury, CT scan of the head should be obtained after stabilizing his cardiopulmonary condition to determine the extent of intracranial damage and the presence of intracranial metallic fragments (bullet). I would also suggest you to carry out computed tomographic angiography (CTA) for the evaluation of intracranial and extracranial vessels. MRI cannot be performed here, since the bullet is still inside the brain. Now coming to the surgery part, in most cases, removal of a deep-seated bullet is not necessary since the risk of brain injury from the retrieval of the bullet exceeds the benefit of its removal. However, depending upon the expertise, position of the bullet that is accessibility, etc., computer-image guided procedures for the removal of bullet fragments may be tried.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Internal Medicine
Related Questions
I consumed food containing toxin. Please help.
CT scan shows bilateral cerebral atrophy with delusion in an older person. What should be done?
Do arterioles and capillaries feel pain?
Magnetic Resonance Imaging (MRI)
Please give your opinion regarding bullet injury of my relative.
CT scan shows non-growing lung nodules with scars. What does it suggest?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
