Buckshot colic: Utilizing holmium: Yag laser for ureteroscopic removal of a bullet fragment within the proximal ureter

Matthew Ziegelmann, Alonso Carrasco, John Knoedler, Amy E. Krambeck

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)8321-8323
Number of pages3
JournalCanadian Journal of Urology
Volume23
Issue number3
StatePublished - Jan 1 2016

Fingerprint

Colic
Solid-State Lasers
Ureter
Holmium
Percutaneous Nephrostomy
Ureteral Obstruction
Firearms
Urinary Tract
Endoscopy
Pathologic Constriction
Metals
Therapeutics

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

@article{56020e721dda4645813739458f6dd99c,
title = "Buckshot colic: Utilizing holmium: Yag laser for ureteroscopic removal of a bullet fragment within the proximal ureter",
abstract = "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.",
author = "Matthew Ziegelmann and Alonso Carrasco and John Knoedler and Krambeck, {Amy E.}",
year = "2016",
month = "1",
day = "1",
language = "English (US)",
volume = "23",
pages = "8321--8323",
journal = "Canadian Journal of Urology",
issn = "1195-9479",
publisher = "Canadian Journal of Urology",
number = "3",

}

Buckshot colic : Utilizing holmium: Yag laser for ureteroscopic removal of a bullet fragment within the proximal ureter. / Ziegelmann, Matthew; Carrasco, Alonso; Knoedler, John; Krambeck, Amy E.

In: Canadian Journal of Urology, Vol. 23, No. 3, 01.01.2016, p. 8321-8323.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Buckshot colic

T2 - Utilizing holmium: Yag laser for ureteroscopic removal of a bullet fragment within the proximal ureter

AU - Ziegelmann, Matthew

AU - Carrasco, Alonso

AU - Knoedler, John

AU - Krambeck, Amy E.

PY - 2016/1/1

Y1 - 2016/1/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=84977546119&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84977546119&partnerID=8YFLogxK

M3 - Article

C2 - 27347630

AN - SCOPUS:84977546119

VL - 23

SP - 8321

EP - 8323

JO - Canadian Journal of Urology

JF - Canadian Journal of Urology

SN - 1195-9479

IS - 3

ER -