• Swiss Surg · Jan 2001

    Case Reports

    A large bullet in the bladder.

    • N Halkic, M Wisard, A Abdelmoumene, and H Vuilleumier.
    • Service de Chirurgie, CHUV, Lausanne. Nermin.Halkic@chuv.hospvd.ch
    • Swiss Surg. 2001 Jan 1;7(3):139-40.

    AbstractAll manner of foreign bodies have been extracted from the bladder. Introduction into the bladder may be through self-insertion, iatrogenic means or migration from adjacent organs. Extraction should be tailored according to the nature of the foreign body and should minimise bladder and urethral trauma. We report a case of a bullet injury to the bladder, which finally presented as a gross hematuria after remaining asymptomatic for four years. We present here an alternative to suprapubic cystostomy with a large bladder foreign body treated via a combined transurethral unroofing followed by removal using a grasper passed through a suprapubic laparoscopic port.

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