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Recurrent Pericardial Effusion Due to Gunshot Wound of the Heart in a Hemodynamically Stable Child

A Case Report

Adnan Uysalel, MD

Haldun Özberrak, MD

Gülendam Koçak, MD

H. Ercan Tutar, MD

Büklüm sokak 20/17 06660 Kavaklidere Ankara, Turkey

A 12-year-old girl presented with recurrent pericardial effusion due to firearm pellet injury to the left ventricle. The pellet was localized by two-dimensional echocardiog raphy within the left ventricular apical wall. Since the patient was asymptomatic, left ventriculotomy was avoided to extract the pellet and only pericardial tube drainage was carried out. A slightly elevated blood lead level of the patient was alarming for potential subsequent lead poisoning due to retained pellets.

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