Evidence map›Paper›PMID 42316127›Full record

ArticleBMC urology2026

Concurrent septic shock and massive renal hematoma following flexible ureteroscopy resulting in emergency nephrectomy: a case report.

Elsayed Abdelhalim, Mohamed Galal, Ali Ibrahim, Mohamed Abd Elaty, Khaled Magdy Zeinelabden, Hossam Nabeeh, Diaa-Eldin Taha, Tarek Abdelbaky

Abstract readCase Reports
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In one paragraph

Article in BMC urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Elsayed AbdelhalimDepartment of Urology, Faculty of Medicine, Kafrelsheikh University, El-giesh Street, 33155, Kafrelsheikh, Egypt. Sayedhalim20@kfs.edu.eg.ORCID http://orcid.org/0009-0000-1401-7629
Mohamed GalalDepartment of Urology, Faculty of Medicine, Kafrelsheikh University, El-giesh Street, 33155, Kafrelsheikh, Egypt.
Ali IbrahimDepartment of Urology, Faculty of Medicine, Kafrelsheikh University, El-giesh Street, 33155, Kafrelsheikh, Egypt.
Mohamed Abd ElatyDepartment of Urology, Faculty of Medicine, Kafrelsheikh University, El-giesh Street, 33155, Kafrelsheikh, Egypt.
Khaled Magdy ZeinelabdenDepartment of Urology, Faculty of Medicine, Kafrelsheikh University, El-giesh Street, 33155, Kafrelsheikh, Egypt.
Hossam NabeehDepartment of Urology, Faculty of Medicine, Kafrelsheikh University, El-giesh Street, 33155, Kafrelsheikh, Egypt.
Diaa-Eldin TahaDepartment of Urology, Faculty of Medicine, Kafrelsheikh University, El-giesh Street, 33155, Kafrelsheikh, Egypt.
Tarek AbdelbakyDepartment of Urology, Faculty of Medicine, Kafrelsheikh University, El-giesh Street, 33155, Kafrelsheikh, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFlexible ureteroscopy (FURS) is widely considered a safe and effective modality for renal stone management. Severe infectious and hemorrhagic complications are uncommon but may be life-threatening. CASE-PRESENTATION: A 75-year-old man was referred to our tertiary center with hemodynamic instability following FURS performed at an outside institution for the treatment of a renal calculus. He presented with septic shock and acute anemia. Contrast-enhanced computed tomography revealed a massive perirenal hematoma compressing the renal parenchyma. Despite aggressive resuscitation, broad-spectrum antibiotics, and intensive care management, the patient's clinical condition deteriorated. Emergency nephrectomy was performed as a life-saving intervention.

conclusionThis case highlights the potential for rare combined septic and hemorrhagic complications following FURS. Early recognition and timely referral to specialized centers are critical to reducing mortality and optimizing patient outcomes.

Indexed as

HematomaKidney DiseasesNephrectomyShock, SepticUreteroscopyAgedHumansKidney CalculiMaleTreatment Outcome

Identifiers

PMID42316127
PMCPMC13277205

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.