Migration of Bullet through an Uninjured Gastrointestinal Tract: A Rare Case Report

Gunshot injuries are a common case of trauma. We present a rare case of gastrointestinal bullet embolism, in which the bullet had entered the oral cavity via a cheek wound on the right side and was swallowed, following which it migrated and got lodged in the caecum. X-ray was suggestive of presence of a foreign body in the abdomen, whereas FAST (Focussed Assessment with Sonography in Trauma) was negative. CT (Computerised Tomography) was indicative of swallowing the bullet. Colonoscopic removal of the bullet was planned, but there was spontaneous removal of the bullet through faeces, which occurred even before the procedure could be carried out. Following debridement of the laceration and closure of the orocutaneous fistula, the wounds were managed conservatively. Most of the available literature reports cases of intravascular embolization, but the presentation in our case is very rare and not much literature could be found.