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A spontaneously expelled bullet from the urethra: A case of undetected bladder injury after abdominal gunshot wound

Authors
Journal
Injury Extra
1572-3461
Publisher
Elsevier
Volume
44
Issue
6
Identifiers
DOI: 10.1016/j.injury.2013.03.033
Keywords
  • Gunshot Wound
  • Bladder Injury
  • Foreign-Body Migration
Disciplines
  • Medicine

Abstract

Abstract Penetrating injury to the bladder is responsible for up to 25% of bladder injuries, the majority of which are due to gunshot wounds. Despite modern imaging and operative exploration, the final end point of the bullet can sometimes be surprising. We report a rare case of a young male with an abdominal GSW who spontaneously expelled a bullet via the urethra 5 days after abdominal exploration. The absence of signs such as hematuria and normal diagnostic studies, along with apparently normal laparotomy, do not always effectively rule out bladder injury, and a high index of suspicion may be necessary to make the diagnosis.

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