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Percutaneous Nephrolithotomy for Removal of a Calcified Intra-Renal Artillery Shell Fragment
  1. I Naeem1,
  2. J Masood1 and
  3. Mr Noor Buchholz, MBBS (D), MD (CH), FSSU (CH), FKNMG (NL), Consultant Urological surgeon & Director of Endourology & Stone Services1
  1. 1Endourology & Stone Services, Barts and The London NHS Trust, London, U.K.
  1. Barts and The London NHS Trust, London EC1A 7BE 02076 018394 02076 017844 nielspeter{at}yahoo.com

Abstract

Residual metallic fragments after intra-abdominal penetrating injuries due to fragments of artillery shells are generally inert, although they may rarely re-activate. The authors present a case where such a fragment presented as a renal stone 17 years after injury. The literature was reviewed and the initial difficulties with the radiological diagnosis, as well as treatment approaches and post-operative findings are discussed in the light of existing reports. An additional challenge arose as the authors working in a tertiary endourology centre attempted to remain as minimally invasive as possible, but were limited by the very nature of the foreign body.

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