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Nail embolization to the femoral artery

Published online by Cambridge University Press:  21 May 2015

Bandar Baw ,
Majid A. Al-Salamah ,
Abdullah Al-Hodaib  and
Heather Wadams
Bandar Baw
Affiliation:
Department of Emergency Medicine, King Fahad National Guard Hospital, Riyadh, Saudi Arabia
Majid A. Al-Salamah*
Affiliation:
Department of Emergency Medicine, King Fahad National Guard Hospital, Riyadh, Saudi Arabia
Abdullah Al-Hodaib
Affiliation:
Department of Emergency Medicine, King Fahad National Guard Hospital, Riyadh, Saudi Arabia
Heather Wadams
Affiliation:
Department of Emergency Medicine, King Fahad National Guard Hospital, Riyadh, Saudi Arabia
*
1428 Emergency Department, King Abdulaziz Medical City, PO Box 22490, Riyadh, 11426, Kingdom of Saudi Arabia; tel 966 505 150 132, fax 966 252 0088 x8433, Malsalamah@gawab.com

Abstract

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Modern air-nailing tools are known to cause penetrating trauma. We report the unusual case of a pneumatically fired carpenter's nail that penetrated the chest of a 30-year-old man and subsequently embolized from the heart to the left femoral artery without clinical evidence of having entered the heart. The nail was surgically removed, and the patient was discharged from hospital without sequelae after 10 days. This case and the relevant literature are discussed from the perspective of the emergency department investigation and care of such patients.

Keywords

embolismballisticstrauma
Type
Case Report • Observations de cas
Information
Canadian Journal of Emergency Medicine , Volume 7 , Issue 4 , July 2005 , pp. 278 - 281
Copyright
Copyright © Canadian Association of Emergency Physicians 2005

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