Presentation
Right sided flank pain.
Patient Data
Impacted and obstructing 6 mm calculus of the distal right ureter. There is associated marked pelvicalyceal dilation of the malrotated right kidney. Variant renal anatomy
with a partially fused horseshoe kidney inferior to the SMA. The malrotated left
kidney contains multiple non-obstructing calyceal calculi. No intracystic calculus.
Extending from the medial limb of the right adrenal gland, there is a 21 mm
indeterminate attenuation adrenal lesion.
Case Discussion
This gentleman presented to emergency with right sided renal colic.
CT showed right-sided distal ureteric calculus with associated hydroureter and hydronephrosis. Incidental finding of variant renal anatomy (horseshoe kidney).
This patient underwent cystoscopic insertion of a right sided ureteric stent.