A complex genitourinary injury following gunshot in a 12 Year old and systematic review

Phillip M Jenkins; R Stephen Haake; Vinu Perinjelil; Ninette Musili; Leo Mercer; Gul Sachwani-Daswani

doi:10.1016/j.eucr.2020.101500

A complex genitourinary injury following gunshot in a 12 Year old and systematic review

Urol Case Rep. 2020 Nov 26:34:101500. doi: 10.1016/j.eucr.2020.101500. eCollection 2021 Jan.

Authors

Phillip M Jenkins¹, R Stephen Haake¹, Vinu Perinjelil¹, Ninette Musili^{1

2}, Leo Mercer^{1

2}, Gul Sachwani-Daswani^{1

2}

Affiliations

¹ Hurley Medical Center, Department of Trauma Services, Flint, MI, USA.
² Michigan State University College of Human Medicine, East Lansing, MI, USA.

Abstract

We highlight the case of a 12 year old male who presented after sustaining a gunshot injury to the scrotum resulting in testicular, prostatic, and urethral transection in addition to pelvic fracture, extra peritoneal bladder injury, and transmural injury to recto sigmoid and ileum. The patient underwent a left orchiectomy, primary repair of the bladder and urethra, placement of universal plate on superior pubic rami, and segmental rectosigmoid and ileum resection. These findings illustrate the collaborative efforts of trauma surgery and urology to treat complex lower genitourinary (GU) injuries and how the direct prioritization of surgical efforts provides acceptable outcomes.

Keywords: Genitourinary injuries; Gunshot injury; Pediatric; Urologic trauma.

Publication types

Case Reports