PMC5628570_01
Patient and semidomesticated deer.
fig-1.jpg
PMC5628570_01_fig-1.jpg
f1
Hispanic male, who presented to our level one trauma center by ambulance after being attacked by a semidomesticated deer on his ranch property (Fig. 1). His initial evaluation by the emergency department included standard primary and secondary survey, which revealed only a 2.5 cm puncture wound to the anterior scrotal wall and blood at the urethral meatus.
Retrograde urethrogram.
fig-2.jpg
PMC5628570_01_fig-2.jpg
f2
The emergency department performed a retrograde urethrogram (Fig. 2), which revealed a significant urethral injury.
Voiding cystourethrogram, with urethral diverticulum (arrow).
fig-3.jpg
PMC5628570_01_fig-3.jpg
f3
Voiding cystourethrogram (VCUG) on postop day 26 (Fig. 3), revealed a small bulbar urethral diverticulum filling with contrast, but no other extravasation was noted.
Cystoscopy findings.
fig-4.jpg
PMC5628570_01_fig-4.jpg
f4
At 8 weeks, an office cystoscopy was performed with his urethra found to be completely healed and epithelialized, to include the small diverticulum previously noted on VCUG (Fig. 4).