Delayed Urethral Obstruction after Migration of a Ballistic Pellet in an Alpine Wether.
Journal
Case reports in veterinary medicine
ISSN: 2090-701X
Titre abrégé: Case Rep Vet Med
Pays: United Kingdom
ID NLM: 101586276
Informations de publication
Date de publication:
2023
2023
Historique:
received:
29
07
2022
revised:
11
06
2023
accepted:
12
06
2023
medline:
26
7
2023
pubmed:
26
7
2023
entrez:
26
7
2023
Statut:
epublish
Résumé
A one-year-old alpine wether was presented for emergency evaluation of stranguria. Diagnostics identified a moderately distended bladder and mild dehydration. Preliminary lateral radiographs identified two metallic structures consistent with projectile pellets in the pelvic and perineal regions and no evidence of radiopaque uroliths. A tube cystostomy was performed, and a contrast urethrogram revealed one of the pellets in the perineal region was in proximity to the urethral obstruction. Subsequent radiography and ultrasound identified the pellet as being within the lumen of the urethra. Examination of the trichotomized skin revealed two scars, including a scar over the paralumbar fossa in the region of the urinary bladder suggestive of a projectile injury. The pellet was removed by a perineal urethrotomy. The patient was able to spontaneously urinate after urethrotomy, passed a tube cystostomy challenge two weeks after surgery, and was discharged. No complications were reported. While uncommon in the veterinary and comparative medical literature, clinicians should consider the potential for projectile pellets to migrate into the urinary tract after initial injury.
Identifiants
pubmed: 37492468
doi: 10.1155/2023/3531856
pmc: PMC10365913
doi:
Types de publication
Case Reports
Langues
eng
Pagination
3531856Informations de copyright
Copyright © 2023 Joe S. Smith et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
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