Obstructive distal ureteric calculus

Case contributed by Dr Faheemullah Khan


Patient presented to the emergency department with right flank pain radiating to the inguino-scrotal region.

Patient Data

Age: 40 years
Gender: Male

Abdominal ultrasound shows an echogenic focus in the distal ureter with posterior acoustic shadowing and causing proximal dilatation suggestive of calculus.

Case Discussion

Renal and ureteric calculi are the frequent causes of emergency department visits. Symptoms arise when they are impacted in pelvis or ureter and cause obstruction leading to hydronephrosis and/or hydroureter. Stones measuring up to 5 mm easily pass through the urinary tract without intervention by improving hydration. Stones measuring more than 5 mm are more difficult to pass - they often require surgical intervention.

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Case information

rID: 63945
Published: 30th Oct 2018
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included
Institution: Hayatabad Medical Complex

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