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Nail embolization to the femoral artery

Published online by Cambridge University Press:  21 May 2015

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
Corresponding
E-mail address:

Abstract

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.

Type
Case Report • Observations de cas
Copyright
Copyright © Canadian Association of Emergency Physicians 2005

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