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Bullet colic.

R S Levine, C J Abramowicz, H M Pollack

    Urologic Radiology
    |January 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Delayed ureteral obstruction from abdominal gunshot wounds is rare. This study presents two new cases of "bullet colic," highlighting a critical, though infrequent, complication of penetrating abdominal trauma.

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    Area of Science:

    • Urology
    • Trauma Surgery
    • Radiology

    Background:

    • Penetrating abdominal trauma, particularly gunshot wounds, can lead to rare but serious complications.
    • Ureteral obstruction secondary to intramural foreign bodies like bullets is an infrequently reported event.

    Observation:

    • The study details two new cases of delayed symptomatic ureteral obstruction following abdominal gunshot wounds.
    • These cases manifest as "bullet colic," a term describing ureteral colic caused by a bullet.

    Findings:

    • Literature review reveals only 4 previously documented cases of ureteral obstruction by intramural missiles.
    • An additional autopsy case reported bullet migration from the renal pelvis to the ureter, bringing the total to 5 prior reports.
    • The presented cases add to the scarce literature on this specific type of ureteral injury.

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    Implications:

    • Delayed ureteral obstruction should be considered in patients presenting with abdominal pain after gunshot wounds.
    • Prompt diagnosis and management are crucial for preventing long-term renal damage.
    • This highlights the importance of comprehensive imaging and follow-up in penetrating abdominal trauma.