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Ureteric pellet causing non-functioning kidney.

Aatif Hassan Shaikh1, Majid Rana, Aashfa Hassan Shaikh

  • 1Department of Radiology, Liaquat University of Medical and Health Sciences Jamshoro, Pakistan. aatifhshaikh@yahoo.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|September 27, 2005
PubMed
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A gunshot trauma victim experienced flank pain for a year. Ureteroscopy revealed a bullet lodged in his right ureter, a rare complication of abdominal gunshot wounds.

Area of Science:

  • Urology
  • Trauma Surgery
  • Radiology

Background:

  • Abdominal gunshot trauma can lead to delayed urological complications.
  • Chronic flank pain may indicate an unresolved genitourinary issue post-trauma.

Observation:

  • A young male presented with a year-long history of bilateral flank pain.
  • The pain onset was linked to a previous gunshot injury to the abdomen.

Findings:

  • Ureteroscopy identified a foreign body, a bullet pellet, within the right ureter.
  • The pellet's presence in the ureter was the likely cause of the chronic flank pain.

Implications:

  • This case highlights the importance of thorough urological evaluation in patients with persistent flank pain after abdominal trauma.

Related Experiment Videos

  • Delayed diagnosis of intraureteral foreign bodies can lead to chronic symptoms and potential complications.
  • Surgical or endoscopic removal of ureteral foreign bodies is crucial for symptom resolution.