Presentation
Right sided abdominal pain
Patient Data
Calculus measuring approx 10mm is seen in right proximal ureter, causing mild proximal hydroureteronephrosis.
Irregularity of calyces is seen in upper pole of right kidney with leakage of contrast into perinephric, hepatorenal space.
Tiny renal concretions are seen in both kidneys.
Left ureter and pelvicalyceal system appear normal.
Normal nephrographic density of both kidneys is seen. No obvious excretion of contrast is seen in right ureter.
Urinary bladder is distended with no obvious wall thickening/lesion.
Prostate and seminal vesicles are unremarkable.
Case Discussion
Irregularity of calyces in upper pole of right kidney with leakage of contrast into
perinephric, hepatorenal space consistent withn forniceal/calyceal rupture. This is likely secondary to right ureteric calculus.
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