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Urethral obstruction due to the passage of a retained projectile into the genitounrinary system

<h5>Abstract</h5> Urethral foreign bodies are relatively rare. When seen, they are usually the result of entry via the urethral meatus. Several reports in the literature have documented the passage of retained bullets into the genitourinary system. The vast majority of these were ultimately expelled spontaneously via the urethra. Very few cases of urethral obstruction and accompanying urinary retention due to bullet migration have been described. The presented case details distal urethral obstruction due to the migration of a retained firearm projectile presenting 1 month after initial gunshot wound. No such case exists in the emergency medicine literature.</P>A 32-year-old man was transported by ambulance to an urban, level I trauma center after being shot in the left flank by a firearm of unknown caliber. The gunshot wound occurred from an estimated distance of 5 ft. No further history about the event was known. No hemodynamic instability was reported en route.</P>A trauma resuscitation was initiated and was a joint effort involving the trauma service and the emergency medicine team. The patient was in a mild amount of distress on arrival secondary to pain. The airway was intact, breath sounds were present bilaterally, and there were palpable distal pulses and a http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png The American Journal of Emergency Medicine Elsevier
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