title: A large bullet in the bladder.
abstract: All 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.
authors.affiliation: Service de Chirurgie, CHUV, Lausanne. Nermin.Halkic@chuv.hospvd.ch
authors.forename: N
authors.initials: N
authors.lastname: Halkic
authors.forename: M
authors.initials: M
authors.lastname: Wisard
authors.forename: A
authors.initials: A
authors.lastname: Abdelmoumene
authors.forename: H
authors.initials: H
authors.lastname: Vuilleumier
mesh_terms: D000328:Adult; D020684:Cystoscopes; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging / Q000601:surgery*