Abdul Haseeb,Liaqat Ali.
When the Bullet finds the Only Kidney: a rare happening of a stray bullet embedded in solitary functioning kidney - a Case Report.
Pak J Urology Jun ;1(2):63-6.

Abstract: Genitourinary trauma resulting from gunshot injuries is observed in roughly 10% of incidents. A stray bullet residing in a solitary functioning kidney is a very rare entity. We present a case of a young patient who suffered a fire arm injury with a stray bullet which remained there in a single functioning kidney for years and with superimposed stone formation. The patient underwent successful endoscopic percutaneous stone fragmentation and retrieval of bullet. Introduction: Genitourinary trauma resulting from gunshot injuries is observed in roughly 10% of incidents (1). Though injuries from firearms affecting organs are quite common, but the issue of foreign bodies remaining in the body after such incidents is not only a challenge in treating war injuries but also a difficult topic in clinical surgery. The most common surgery in these cases involves keeping the bullet inside. Dealing with bullets left behind after a firearm injury to the kidney is a complex problem yet rarely faced scenario, involving challenging diagnoses and surgical procedures (2,3). A stray bullet residing in a solitary functioning kidney is a very rare entity (4). Since any retained bullet for long time can result in calculus formation, infection or obstruction. It is pertinent to remove it particularly in a single functioning kidney (5).  Traditional methods of removing foreign objects from the kidney usually require either open or laparoscopic surgery, which can cause significant trauma, bleeding, and long recovery times for patients. On the other hand, percutaneous nephroscopy, a minimally invasive surgical technique, is typically used for treating upper urinary tract stones, ureteropelvic junction narrowing, and removing foreign bodies like displaced ureteral stents or bullets (6). Here we present a rare case of a retained bullet in a solitary functioning kidney. Key Words: PCNL, Renal Stone, Fire-arm injury

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