Renal calculi and ureterolithiasis

Case contributed by Shervin Sharifkashani


Left flank colicky pain and nausea and intermittent vomiting for three days.

Patient Data

Age: 20 years
Gender: Male

Left kidney considerably decreased size (63 x 35 mm) and also has multiple calculi with sizes up to 6-8 mm, more in middle to lower poles.

6 mm calculus in left distal ureter, adjacent to the VUJ with upstream hydroureteronephrosis.

Compensatory enlarged right kidney is seen.

Case Discussion

The case illustrates the non-contrast MDCT features of renal calculiureteric calculus, and chronic kidney disease. One of the major causes of chronic kidney disease is recurrent renal calculi complicated by secondary infection. 

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