Renal calculi with obstruction

Case contributed by Dr Victoria Ho


Left lower quadrant pain for three days associated with subjective fever, loss of appetite, and nausea. Urine dipstick was positive for haemaglobulin and nitrite. Past history of renal calculi. Elevated white cell count.

Patient Data

Age: 55 years
Gender: Male

A 7 mm obstructive left mid to distal ureteric calculus with moderate hydroureter and hydronephrosis. 

Extensive fat stranding and small volume fluid is evident throughout the perinephric space, along the path of the left ureter, and along the anterior margin of the left psoas muscle. 

Multiple bladder and bilateral intrarenal calculi.


Left JJ stent inserted.

Case Discussion

The CT KUB showed significant obstructive uropathy from renal calculi. 

He was treated with intravenous antibiotics and ureteric stent insertion. 

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Case information

rID: 56266
Case created: 22nd Oct 2017
Last edited: 26th Oct 2017
System: Urogenital
Inclusion in quiz mode: Excluded

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