Case Western Reserve University School of Medicine, Cleveland, OH.
Case Western Reserve University School of Medicine, Cleveland, OH; University Hospitals Cleveland Medical Center, Urology Institute, Cleveland, OH; Metro Health Medical Center, Cleveland, OH.
Urology. 2019 Jul;129:e6. doi: 10.1016/j.urology.2019.03.021. Epub 2019 Mar 30.
Urethral obstruction due to retained bullets migrating into the genitourinary system has rarely been reported. The literature describes 2 main methods of retained bullet removal from the genitourinary system: (1) spontaneous expulsion during voiding and (2) manual extraction due to urethral obstruction causing acute urinary retention. We present a case in which a 21-year-old man presented with acute urinary retention 3 years after suffering a gunshot wound to the abdomen. A retained bullet eroded through the bladder wall, migrated through the bladder and urethra, and eventually became lodged in the external urethral meatus, causing obstruction and urinary retention.
由于遗留子弹迁移到泌尿生殖系统而导致的尿道梗阻很少有报道。文献描述了从泌尿生殖系统取出遗留子弹的 2 种主要方法：（1）在排尿时自行排出；（2）由于尿道梗阻导致急性尿潴留而进行手动提取。我们报告了 1 例 21 岁男性，在腹部遭受枪伤 3 年后出现急性尿潴留。遗留子弹侵蚀膀胱壁，通过膀胱和尿道迁移，最终嵌顿在外尿道口，导致梗阻和尿潴留。
