Soft tissue rim sign of ureteric calculus

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Right ureteric colic.

Patient Data

Age: 50 years
Gender: Male

Mild right hydronephrosis to the level of an obstructing upper ureteric stone.

At the level of the stone the ureter is circumferentially thickened.

Left midpole renal stone.

Case Discussion

The soft tissue rim sign occurs in the ureter in the context of a ureteric calculus. A rim of soft tissue develops around the stone which represents the edematous ureteric wall.

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