Buckshot colic.

Area of Science:

• Urology
• Trauma Surgery
• Radiology

Background:

• Shotgun injuries can lead to complex intra-abdominal and renal trauma.
• Delayed complications, such as ureteral passage of foreign bodies, are rare but significant.
• Understanding the etiology and management of 'buckshot colic' is crucial for patient care.

Observation:

• A case report details a patient with a shotgun injury to the abdomen and kidney.
• The patient experienced delayed spontaneous ureteral passage of a shotgun pellet.
• This event is a rare manifestation of post-traumatic complications.

Findings:

• The term 'buckshot colic' describes the clinical presentation of ureteral obstruction or colic secondary to a shotgun pellet.
• Spontaneous passage of the pellet occurred, suggesting a nonoperative management pathway.
• The case clarifies the definition and typical clinical course of buckshot colic.

Implications:

• This case highlights the possibility of delayed ureteral complications following penetrating abdominal trauma.
• Nonoperative management is often feasible for buckshot colic, reducing surgical morbidity.
• Accurate terminology and understanding of this rare complication aid in diagnosis and treatment planning.