Delayed Urethral Obstruction after Migration of a Ballistic Pellet in an Alpine Wether
A one-year-old alpine wether was presented for emergency evaluation of stranguria. Diagnostics identified a moderately distended bladder and mild dehydration. Preliminary lateral radiographs identified two metallic structures consistent with projectile pellets in the pelvic and perineal regions and...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2023-01-01
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| Series: | Case Reports in Veterinary Medicine |
| Online Access: | http://dx.doi.org/10.1155/2023/3531856 |
| _version_ | 1797773316673503232 |
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| author | Joe S. Smith Adrien-Maxence Hespel Jessica D. Garcia Krista L. Lipe Stephanie A. Kleine Pierre-Yves Mulon |
| author_facet | Joe S. Smith Adrien-Maxence Hespel Jessica D. Garcia Krista L. Lipe Stephanie A. Kleine Pierre-Yves Mulon |
| author_sort | Joe S. Smith |
| collection | DOAJ |
| description | A one-year-old alpine wether was presented for emergency evaluation of stranguria. Diagnostics identified a moderately distended bladder and mild dehydration. Preliminary lateral radiographs identified two metallic structures consistent with projectile pellets in the pelvic and perineal regions and no evidence of radiopaque uroliths. A tube cystostomy was performed, and a contrast urethrogram revealed one of the pellets in the perineal region was in proximity to the urethral obstruction. Subsequent radiography and ultrasound identified the pellet as being within the lumen of the urethra. Examination of the trichotomized skin revealed two scars, including a scar over the paralumbar fossa in the region of the urinary bladder suggestive of a projectile injury. The pellet was removed by a perineal urethrotomy. The patient was able to spontaneously urinate after urethrotomy, passed a tube cystostomy challenge two weeks after surgery, and was discharged. No complications were reported. While uncommon in the veterinary and comparative medical literature, clinicians should consider the potential for projectile pellets to migrate into the urinary tract after initial injury. |
| first_indexed | 2024-03-12T22:03:47Z |
| format | Article |
| id | doaj.art-00b255195ce84c46bb8100ccc4e77647 |
| institution | Directory Open Access Journal |
| issn | 2090-701X |
| language | English |
| last_indexed | 2024-03-12T22:03:47Z |
| publishDate | 2023-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Veterinary Medicine |
| spelling | doaj.art-00b255195ce84c46bb8100ccc4e776472023-07-25T00:00:01ZengHindawi LimitedCase Reports in Veterinary Medicine2090-701X2023-01-01202310.1155/2023/3531856Delayed Urethral Obstruction after Migration of a Ballistic Pellet in an Alpine WetherJoe S. Smith0Adrien-Maxence Hespel1Jessica D. Garcia2Krista L. Lipe3Stephanie A. Kleine4Pierre-Yves Mulon5Large Animal Clinical SciencesSmall Animal Clinical SciencesLarge Animal Clinical SciencesSmall Animal Clinical SciencesSmall Animal Clinical SciencesLarge Animal Clinical SciencesA one-year-old alpine wether was presented for emergency evaluation of stranguria. Diagnostics identified a moderately distended bladder and mild dehydration. Preliminary lateral radiographs identified two metallic structures consistent with projectile pellets in the pelvic and perineal regions and no evidence of radiopaque uroliths. A tube cystostomy was performed, and a contrast urethrogram revealed one of the pellets in the perineal region was in proximity to the urethral obstruction. Subsequent radiography and ultrasound identified the pellet as being within the lumen of the urethra. Examination of the trichotomized skin revealed two scars, including a scar over the paralumbar fossa in the region of the urinary bladder suggestive of a projectile injury. The pellet was removed by a perineal urethrotomy. The patient was able to spontaneously urinate after urethrotomy, passed a tube cystostomy challenge two weeks after surgery, and was discharged. No complications were reported. While uncommon in the veterinary and comparative medical literature, clinicians should consider the potential for projectile pellets to migrate into the urinary tract after initial injury.http://dx.doi.org/10.1155/2023/3531856 |
| spellingShingle | Joe S. Smith Adrien-Maxence Hespel Jessica D. Garcia Krista L. Lipe Stephanie A. Kleine Pierre-Yves Mulon Delayed Urethral Obstruction after Migration of a Ballistic Pellet in an Alpine Wether Case Reports in Veterinary Medicine |
| title | Delayed Urethral Obstruction after Migration of a Ballistic Pellet in an Alpine Wether |
| title_full | Delayed Urethral Obstruction after Migration of a Ballistic Pellet in an Alpine Wether |
| title_fullStr | Delayed Urethral Obstruction after Migration of a Ballistic Pellet in an Alpine Wether |
| title_full_unstemmed | Delayed Urethral Obstruction after Migration of a Ballistic Pellet in an Alpine Wether |
| title_short | Delayed Urethral Obstruction after Migration of a Ballistic Pellet in an Alpine Wether |
| title_sort | delayed urethral obstruction after migration of a ballistic pellet in an alpine wether |
| url | http://dx.doi.org/10.1155/2023/3531856 |
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