Unusual venous bullet embolism – Case report

•Autopsy diagnostic in cases of firearm related fatalities.•Causative factors for venous bullet embolism in penetrating vascular trauma.•Intervenous tubercle (Lower) – yet another clinical impact of its variation.

Bullet embolism is rare complication of penetrating gunshot trauma. We are presenting a case of a single gunshot with entrance wound located on external side of a left thigh. The upward directed trajectory extends to the left lateral side of the neck, but the bullet has been recovered from right external iliac vein. The bullet migration was explained due to one rare variation of the mouth of vena cava superior and inferior.