Category: Stones: Ureteroscopy

VS1-7 - Buckshot Centered Nucleous- Matrix Ureterolithiasis Due To Gunshot Injury

Fri, Sep 21
10:00 AM - 12:00 PM

Introduction & Objective :

The foreign bodies within the ureter are extremely rare and  they include iatrogenic bodies as fragmented ureteral stents, angio-embolization coils, traumatic sharpnel or bullet and foreign bodies introduced per urethra. In this case, a patient with buckshot centered nucleous-matrix ureterolithiasis due to gunshot injury was presented.


Methods :


Case Presentation: Fifty-five year old man who referred for left flank pain for 3 months. The patient underwent laparotomy caused by gunshot injury to abdominal area 6 months ago. During this time there was no history of hematuria, febrile urinary tract infection and abdominal pain. The physical examination was unremarkable. Complete blood count was normal and urine culture was negative. Creatinin rate was 1.1 mg/dl. Left side hydroureteronephrosis, upper third ureteric calculi and ureteric foreign body seen on abdominal computed tomography.


Results :  We decided to perform left ureteroscopy to the patient.  A holmium laser lithotripter was used to break the stone during ureteroscopy.  It was observed that the bullet inside the stone matrix was the core. After the stone was completely shredded, we removed the buckshot core with endoscopic forceps


Conclusions :

Ureteral trauma is uncommon, accounting for less than %1 of all urologic traumas . Penetrating ureteral injuries are more common than blunt uretral injuries in adults Upper third of the ureter is more often injured than the midlle and lower thirds. Complications of ureteric injury are; infected urinomas, ureteric fistulas, ureteric stenosis, and retroperitoneal abscesses. The reason we have presented this case is there is no complication of urinary system due to intra ureteric foreign body within 6 months.

Mehmet Giray Sönmez

Department of Urology, Necmettin Erbakan University, Meram Medical Faculty,
Konya, Konya, Turkey

Muzaffer Tansel Kılınç

Department of Urology, Necmettin Erbakan University, Meram Medical Faculty, Konya, Turkey
Konya, Konya, Turkey

Ahmet Atıcı

Department of Urology, Necmettin Erbakan University, Meram Medical Faculty, Konya, Turkey
Konya, Konya, Turkey

Ahmet Öztürk

Department of Urology, Necmettin Erbakan University, Meram Medical Faculty, Konya, Turkey.
Konya, Konya, Turkey

Yunus Emre Göğer