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RESIDENT’S CORNER
Buckshot colic: utilizing holmium:yag laser for ureteroscopic removal of a bullet fragment within the proximal ureter
Department of Urology, Mayo Clinic, Rochester, Minnesota, USA
Address correspondence to Dr. Amy E. Krambeck, 200 First
Street SW, Rochester, MN 55905 USA
Canadian Journal of Urology 2016, 23(3), 8321-8323.
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Buckshot colic is a rare phenomenon, presenting as firearm-induced urinary tract obstruction. We present a case of gunshot-induced ureteral obstruction in a 49-year-old male, treated endoscopically with the holmium:YAG (holmium) laser. CT revealed a 1 cm bullet fragment within the left proximal ureter. A percutaneous nephrolithotomy was performed utilizing the holmium laser to fragment the metal into basket-retrievable pieces. At 4 month follow up the patient is without evidence of stricture. To our knowledge, this is the first reported utilization of the holmium laser to treat “buckshot colic”. Endoscopy with holmium laser appears a feasible and safe treatment option.Keywords
buckshot colic, bullet, holmium laser, ureter, ureteroscopy
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APA Style
Ziegelmann, M., Carrasco, A., Knoedler, J., Krambeck, A.E. (2016). Buckshot colic: utilizing holmium:yag laser for ureteroscopic removal of a bullet fragment within the proximal ureter. Canadian Journal of Urology, 23(3), 8321–8323.
Vancouver Style
Ziegelmann M, Carrasco A, Knoedler J, Krambeck AE. Buckshot colic: utilizing holmium:yag laser for ureteroscopic removal of a bullet fragment within the proximal ureter. Can J Urology. 2016;23(3):8321–8323.
IEEE Style
M. Ziegelmann, A. Carrasco, J. Knoedler, and A.E. Krambeck, “Buckshot colic: utilizing holmium:yag laser for ureteroscopic removal of a bullet fragment within the proximal ureter,” Can. J. Urology, vol. 23, no. 3, pp. 8321–8323, 2016.
Copyright © 2016 The Author(s). Published by Tech Science Press.This work is licensed under a Creative Commons Attribution 4.0 International License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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