• D A Pérez Fentes, V Toucedo Caamaño, L Villasenín Parrado, J Lema Grille, H Rodríguez Núñez, and M Blanco Parra.
• Servicio de Urología, Complejo Hospitalario Universitario de Santiago de Compostela, La Coruña. danielfentes@yahoo.es
• Actas Urol Esp. 2006 Oct 1; 30 (9): 947-53.

ObjectiveTo report one case of gunshot bladder trauma and to review its diagnosis and treatment in the related literature.MethodsWe report the case of a 43-year-old-male with an abdominal firearm wound and gross haematuria. Imaging diagnosis by abdominal and pelvic CT and CT-cystography. Surgical treatment.ResultsCT-cystography showed extraperitoneal bladder rupture. Exploratory laparotomy to evaluate for other associated injuries. Bladder wall surgical closure and ureteroneocystostomy with transvesical technique because of complete distal ureter tear. Broad spectrum antibiotherapy. Favourable progress. The patient was discharged at 14th day.ConclusionsFirearm bladder traumas are a rare entity. Surgical exploration and closure is mandatory. In haemodynamicaly stable patients, abdomen and pelvis CT and CT-cystography allow us to rule out associated injuries and to classify the bladder trauma type. Ureteral damage associated in 5-8,9%, diagnosed during surgical exploration. Broad-spectrum antibiotherapy in all patients.

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