Left renal tract calculi

Case contributed by Dr Derek Smith

Presentation

Intermittent left flank pain, now acute. Haematuria on dipstick. Normal inflammatory markers.

Patient Data

Age: 60 years
Gender: Female
CT

CT KUB

3 mm left distal ureteric calculus. This is close to the VUJ and is not obstructing the collecting system, although there is periureteric inflammatory change likely due to recent passage.

Further dense left interpolar calculus.

Hepatic cysts and left femoral fixation, otherwise unremarkable.

Annotated image

Calculus close to the left VUJ arrowed.

X-ray

XR KUB

Left renal and small left distal ureteric calculi evident on plain radiograph.

Case Discussion

CT KUB is a quick and relatively low dose test when there is high suspicion of renal tract calculi.

Follow up / assessment of passage is typically performed with plain radiographs. These calculi are visible on XR so this will be sufficient in future.

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Case information

rID: 62105
Published: 1st Aug 2018
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included

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