Renal calculi with obstruction

Case contributed by Victoria Ho
Diagnosis certain

Presentation

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.

Fluoroscopy

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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