PMC7451185_01
Computed tomography image of the lumbar spine (sagittal view) shows T11,T12, and L1 levels and the bullet inside the canal at the level of L1.
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F1
The CT scan documented the bullet traversed the lung and liver, entered the spinal canal at T12 anterior to the psoas muscle (e.g., resulting in a nondisplaced fracture of the right facet joint), and settled intrathecally at L1 [Figure 1].
Computed tomography myelogram image of the lumbar spine (axial view) at the level of L1 that shows the bullet inside the thecal sac.
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F2
The CT- myelogram showed the bullet lodged intrathecally at the L1 level, where it compressed the cauda equina [Figure 2].
Intraoperative microscopic picture (50X) shows the dura, nerve roots and the bullet inside the thecal sac.
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F3
Within 24 h, he underwent an L1 laminectomy/durotomy for bullet removal [Figure 3].