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Successful management of penetrating shrapnel injury to the left ureter with delayed projectile migration through the urinary tract
INTRODUCTION: We present a case of successful endoscopic treatment of a penetrating shrapnel injury to the left ureter. The patient experienced spontaneous migration of the projectile through the urinary tract, leading to renal colic. CASE PRESENTATION: A military man sustained multiple shrapnel inj...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622226/ https://www.ncbi.nlm.nih.gov/pubmed/37928281 http://dx.doi.org/10.1002/iju5.12623 |
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author | Gutvert, Roman Kobirnichenko, Artem Bidula, Yevhen Balabanyk, Vasyl |
author_facet | Gutvert, Roman Kobirnichenko, Artem Bidula, Yevhen Balabanyk, Vasyl |
author_sort | Gutvert, Roman |
collection | PubMed |
description | INTRODUCTION: We present a case of successful endoscopic treatment of a penetrating shrapnel injury to the left ureter. The patient experienced spontaneous migration of the projectile through the urinary tract, leading to renal colic. CASE PRESENTATION: A military man sustained multiple shrapnel injuries to the soft tissues and abdomen, including lacerations of the intestines, during enemy shelling in eastern Ukraine. On the 35th day after the trauma, the patient reported sudden pain in the left lumbar area. Subsequent investigation confirmed the presence of a foreign body in the lower part of the left ureter, accompanied by contrast extravasation. Ureteroscopy revealed a round‐shaped metal shrapnel, which was removed. A double‐J stent was inserted into the left ureter. CONCLUSION: The endoscopic extraction of the shrapnel fragment and the subsequent placement of a ureteral stent for the repair of the ureteral injury have proven to be safe and effective methods. |
format | Online Article Text |
id | pubmed-10622226 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-106222262023-11-03 Successful management of penetrating shrapnel injury to the left ureter with delayed projectile migration through the urinary tract Gutvert, Roman Kobirnichenko, Artem Bidula, Yevhen Balabanyk, Vasyl IJU Case Rep Case Reports INTRODUCTION: We present a case of successful endoscopic treatment of a penetrating shrapnel injury to the left ureter. The patient experienced spontaneous migration of the projectile through the urinary tract, leading to renal colic. CASE PRESENTATION: A military man sustained multiple shrapnel injuries to the soft tissues and abdomen, including lacerations of the intestines, during enemy shelling in eastern Ukraine. On the 35th day after the trauma, the patient reported sudden pain in the left lumbar area. Subsequent investigation confirmed the presence of a foreign body in the lower part of the left ureter, accompanied by contrast extravasation. Ureteroscopy revealed a round‐shaped metal shrapnel, which was removed. A double‐J stent was inserted into the left ureter. CONCLUSION: The endoscopic extraction of the shrapnel fragment and the subsequent placement of a ureteral stent for the repair of the ureteral injury have proven to be safe and effective methods. John Wiley and Sons Inc. 2023-08-17 /pmc/articles/PMC10622226/ /pubmed/37928281 http://dx.doi.org/10.1002/iju5.12623 Text en © 2023 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of Japanese Urological Association. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Reports Gutvert, Roman Kobirnichenko, Artem Bidula, Yevhen Balabanyk, Vasyl Successful management of penetrating shrapnel injury to the left ureter with delayed projectile migration through the urinary tract |
title | Successful management of penetrating shrapnel injury to the left ureter with delayed projectile migration through the urinary tract |
title_full | Successful management of penetrating shrapnel injury to the left ureter with delayed projectile migration through the urinary tract |
title_fullStr | Successful management of penetrating shrapnel injury to the left ureter with delayed projectile migration through the urinary tract |
title_full_unstemmed | Successful management of penetrating shrapnel injury to the left ureter with delayed projectile migration through the urinary tract |
title_short | Successful management of penetrating shrapnel injury to the left ureter with delayed projectile migration through the urinary tract |
title_sort | successful management of penetrating shrapnel injury to the left ureter with delayed projectile migration through the urinary tract |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622226/ https://www.ncbi.nlm.nih.gov/pubmed/37928281 http://dx.doi.org/10.1002/iju5.12623 |
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