The impact of the bullet on the shoulder and its proximity to the carotid artery

Document Type : Case Report


1 Neurosurgery Specialist, Pediatric Neurosurgery Fellowship, Imam Hossein (AS) hospital/Army Ground Forces, Kerman, Iran

2 Cardiologist, Interanion Fellowship, Tehran, Iran

3 Master of Psychiatric Nursing, Imam Hossein (AS) Hospital/Army Ground Force, Kerman, Iran

4 Instructor of Medical Surgical Nursing, Shazand School of Nursing, Arak University of Medical Sciences, Arak, Iran



Background and aims: One of the most important topics in the discussion of trauma are bullet and shrapnel injuries, which have increased in incidence in recent years Injuries caused by firearms are numerous injuries that sometimes cause the death of people. The following article is a report of a case of bullet impact.
Case presentation: The patient, a 20-year-old man, was directly hit by a bullet in the shoulder due to the impact of a war colt bullet during a fight. The trauma caused by the bullet had resulted in damage to the brachial plexus and its location in the vicinity of the carotid artery and in front of the trachea and in front of the seventh cavity of the neck. It was evident, during the surgery, a bullet was observed near the left side of the carotid, the bullet was slowly removed without damaging the trachea, esophagus, thyroid, and carotid, and then the wound was closed and bandaged with sutures, and after a few days, he was discharged from the hospital.
Conclusion: The scientific evaluation of all trauma patients caused by gunshot wounds should always follow a logical order and attention to all possible causes can be lifesaving for these patients. Injuries caused by a bullet can cause severe problems and injuries in a person that are irreparable and even cause the death of the patient. The best treatment method for these victims is surgery and removal of the bullet. In this patient, considering that only one bullet hit the patient's shoulder and caused damage to the brachial plexus, and the lack of surgery and removal of the bullet could lead to weakness and inability to move or loss of sensation in the shoulder area. The arm or hand gets sick. The vicinity of the bullet next to the carotid can cause complications for the patient such as: the carotid being under pressure by a foreign object (bullet) and reducing the blood supply to the brain vessels, the wall being scratched by the foreign object and eventually the carotid rupture, according to the location of the bullet, any action. The treatment and movement of the bullet would have caused more and irreparable damage and the patient might have lost his life in this surgery.


Main Subjects

Articles in Press, Corrected Proof
Available Online from 26 September 2023
  • Receive Date: 18 August 2023
  • Revise Date: 17 September 2023
  • Accept Date: 19 September 2023