Evidence map›Paper›PMID 42677316›Full record

ArticleJournal of surgical case reports2026

Delayed presentation of retained renal shrapnel: a case report and literature review.

Rawa Bapir, Ahmed Mohammed Abdalqadir, Ismaeel Aghaways, Bryar Othman Muhammed, Farman M Faraj, Soran H Tahir, Nali H Hama, Zheer T Hamasalih, Berun A Abdalla, Fahmi H Kakamad

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In one paragraph

Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Rawa BapirDepartment of Urology, Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah 46001, Iraq.
Ahmed Mohammed AbdalqadirDepartment of Urology, Sulaymaniyah Surgical Teaching Hospital, Zanko Street, Sulaymaniyah 46001, Iraq.
Ismaeel AghawaysCollege of Medicine, Department of Clinical Sciences, University of Sulaimani, Madam Mitterrand Street, Sulaymaniyah 46001, Iraq.
Bryar Othman MuhammedSmart Health Tower (Raparin Branch), Karux Street, Ranya 46012, Sulaymaniyah, Iraq.
Farman M FarajDepartment of Urology, Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah 46001, Iraq.
Soran H TahirCollege of Medicine, Department of Clinical Sciences, University of Sulaimani, Madam Mitterrand Street, Sulaymaniyah 46001, Iraq.
Nali H HamaDepartment of Urology, Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah 46001, Iraq.
Zheer T HamasalihDepartment of Scientific Affairs, Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah 46001, Iraq.
Berun A AbdallaKscien Organization for Scientific Research (Middle East Office), Hamdi Street, Sulaymaniyah 46001, Iraq.
Fahmi H KakamadKscien Organization for Scientific Research (Middle East Office), Hamdi Street, Sulaymaniyah 46001, Iraq.ORCID https://orcid.org/0000-0002-2124-9580

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Retained renal foreign bodies (FBs) following blast or firearm injury are rare and usually present early; delayed presentation is a challenging diagnostic scenario. The present report describes a case of retained renal shrapnel presenting with obstructive complications 18 years after the initial injury. Imaging revealed a 24 mm calculus encrusting a retained metallic FB at the left renal hilum, with severe hydronephrosis and reduced differential renal function (27.4%). Following ureteroscopic stenting, percutaneous nephrolithotomy was performed. The surrounding calculus was fragmented, but the metallic core resisted both pneumatic and laser lithotripsy and required extraction via a dorsal lumbotomy. A focused review of seven prior cases revealed an injury-to-presentation latency of 5 months to 17 years; the present 18-year interval is among the longest reported. Retained renal FBs may remain silent for years and closely mimic ordinary calculi; a thorough trauma history is essential to avoid misdiagnosis and guide operative planning.

Indexed as

delayed complicationkidneypenetrating traumapercutaneous nephrolithotomyretained foreign bodysecondary renal stones

Identifiers

PMID42677316
PMCPMC13528864

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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.