[Gunshot bladder trauma: case report and literature review].
OBJECTIVE
To report one case of gunshot bladder trauma and to review its diagnosis and treatment in the related literature.


METHODS
We 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.


RESULTS
CT-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.


CONCLUSIONS
Firearm 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.
Pérez Fentes
D A
DA
Servicio de Urología, Complejo Hospitalario Universitario de Santiago de Compostela, La Coruña. danielfentes@yahoo.es
Toucedo Caamaño
V
V
Villasenín Parrado
L
L
Lema Grille
J
J
Rodríguez Núñez
H
H
Blanco Parra
M
M
D000328:Adult; D006801:Humans; D008297:Male; D001743:Urinary Bladder / Q000293:injuries*; D014948:Wounds, Gunshot / Q000175:diagnosis / Q000601:surgery