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
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.