Abdominal foreign body - bullet

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Old war damage. work up for hematuria.

Patient Data

Age: 60 years
Gender: Male
X-ray

Two adjacent stones are seen in right kidney lodge.
A bullet is also evident at right upper quadrant.

Two stone, 20 mm and 9 mm are seen in right renal pelvis, result in mild hydronephrosis.
A bullet is also noted in right peri-nephric space, causing marked streak artifacts.

Case Discussion

A bullet in right perinephric space due to old war damage. 

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