Undetected Penetrating Bladder Injuries Presenting as a Spontaneously Expulsed Bullet during Voiding: A Rare Entity and Review of the Literature

Abstract Background Patients presenting with a penetrating missile lodged in the pelvis are at risk for having a urinary tract injury. Once in the bladder, the missile can become impacted in the urethra, causing retention that requires extraction. Rarely, the missile can be expulsed spontaneously th...

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Bibliographic Details
Published in:The Journal of emergency medicine 2013-09, Vol.45 (3), p.e59-e62
Main Authors: Kuy, SreyRam, MD, MHS, Somberg, Lewis B., MD, FACS, Paul, Jasmeet, MD, Brown, Nathaniel, MD, Saving, Allegra, MD, Codner, Panna A., MD, FACS
Format: Article
Language:English
Subjects:
Adult
Buttocks - injuries
Colon, Sigmoid - injuries
Emergency
Foreign Bodies - etiology
Foreign Bodies - urine
genitourinary trauma
Humans
Male
penetrating bladder injury
Peritonitis - etiology
Peritonitis - surgery
Urinary Bladder - injuries
Wounds, Gunshot - complications
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Description
Summary:Abstract Background Patients presenting with a penetrating missile lodged in the pelvis are at risk for having a urinary tract injury. Once in the bladder, the missile can become impacted in the urethra, causing retention that requires extraction. Rarely, the missile can be expulsed spontaneously through the urethra. Objectives To describe the world literature regarding undetected penetrating bladder injuries presenting as spontaneously voided bullets and to contribute an additional case to the literature. Case Report We present a case report of a 37-year-old man who sustained a gunshot wound to the right buttock, with an undetected urinary system injury and subsequent spontaneous voiding of a bullet. Conclusion There have been
ISSN:0736-4679
2352-5029
DOI:10.1016/j.jemermed.2013.03.039