Affiliations: Department of Pediatric Intensive Care and Cardiology, University of Florida, Gainesville, FL, USA | Department of Neuroradiology, University of Florida, Gainesville, FL, USA | Department of Anesthesia and Critical Care Medicine, Nemours/duPont Hospital for Children, Wilmington, DE, USA
Note:  Corresponding author: Srinivasarao Badugu, Department of Pediatric Critical Care and Pediatric Cardiology, University of Florida, 1600 Archer Road, Gainesville, FL 32601, USA. Tel.: +1 352 265 0462; Fax: +1 352 265 0443; E-mail: [email protected]
Abstract: Missile embolization is a rare phenomenon with most cases reported in the literature as a consequence of direct or indirect vascular trauma. Despite their characterization as toys, traumatic injuries from pellet guns are associated with significant rates of morbidity related to their vascular and neurological complications. We present a 9-year-old boy who was shot in the chest with a pellet gun and suffered a femoral arterial occlusion and a delayed stroke in the middle cerebral arterial distribution.