Abstract
Re: "Late Presentation of a 9mm Bullet in the Ureteropelvic Junction Causing Acute Renal Failure in a Solitary Functioning Left Kidney" by Jhaveri and D'Angelo (J Endourol Case Rep. 2018;4:173-175).
Highlights
Letter to the EditorRe: ‘‘Late Presentation of a 9mm Bullet in the Ureteropelvic Junction Causing Acute Renal Failure in a Solitary Functioning Left Kidney’’ by Jhaveri and D’Angelo (J Endourol Case Rep. 2018;4:173–175)
We read with interest the recent article by Jhaveri and D’Angelo.[1]
The authors should recognize the heterogeneity of presentations that exist with gunshot injuries and the upper urinary tract
Summary
Re: ‘‘Late Presentation of a 9mm Bullet in the Ureteropelvic Junction Causing Acute Renal Failure in a Solitary Functioning Left Kidney’’ by Jhaveri and D’Angelo (J Endourol Case Rep. 2018;4:173–175). The authors do not state whether any follow-up imaging was undertaken or whether delayed ureteral stricturing occurred. The rarity of such cases is alluded to by the authors and they further acknowledge the difficulty in diagnosing late urologic complications of gunshot injury. Gutman and colleagues have reported a case of delayed colic caused by gunshot occurring 7 years after injury.[7] Effective use of the holmium laser through a percutaneous approach to shatter a bullet fragment permitting basket extraction[8] has been described with a 4-month stricturefree follow-up. All urologists who encounter delayed gunshot injuries should be aware of the fact that bullets may not follow anatomical routes as described by Kollias and Kyriakopoulos[9]; the entry point was the supraclavicular area, the bullet was eventually removed from the urethra!
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