Rolling stone sign in bladder calculus

Case contributed by Subash Thapa , 11 Oct 2015
Diagnosis certain
Changed by Ayush Goel, 2 Jul 2016

Updates to Case Attributes

Title was changed:
“RollingRolling stone sign in bladder calculus
Body was changed:

Ultrasonography is the most sensitive tool for the diagnosis of a bladder calculus when the size is >3 mm 1.

Stones appears as echogenic structure that cast posterior acoustic shadows.

Sometimes a calculus in the vesicoureteric junction may be difficult to diagnose from a bladder calculus. In such cases, changing the position of the patient is mandatory. If the calculus rolls along the the inner wall of the bladder to the dependent portion, this has been referred to as the “rolling stone sign” which is suggestive of bladder calculus calculus.

  • -<p>Ultrasonography is the most sensitive tool for the diagnosis of a bladder calculus when the size is &gt;3 mm <sup>1</sup>.</p><p>Stones appears as echogenic structure that cast posterior acoustic shadows.</p><p>Sometimes a calculus in the vesicoureteric junction may be difficult to diagnose from a bladder calculus. In such cases, changing the position of the patient is mandatory. If the calculus rolls along the inner wall of the bladder to the dependent portion, this has been referred to as the “rolling stone sign” which suggestive of bladder calculus.</p><p><!--[if gte mso 9]><xml>
  • +<p>Ultrasonography is the most sensitive tool for the diagnosis of a bladder calculus when the size is &gt;3 mm <sup>1</sup>.</p><p>Stones appears as echogenic structure that cast posterior acoustic shadows.</p><p>Sometimes a calculus in the vesicoureteric junction may be difficult to diagnose from a bladder calculus. In such cases, changing the position of the patient is mandatory. If the calculus rolls along the inner wall of the bladder to the dependent portion, this has been referred to as the “rolling stone sign” which is suggestive of bladder calculus.</p><p><!--[if gte mso 9]><xml>

References changed:

  • 1. FACR RJZMD, Brady CM, Dyer RB. Genitourinary Imaging: The Requisites, 3e (Requisites in Radiology). Elsevier. ISBN:0323057756. <a href="http://books.google.com/books?vid=ISBN0323057756">Read it at Google Books</a> - <a href="http://www.amazon.com/gp/product/0323057756">Find it at Amazon</a><span class="auto"></span>
  • 1. FACR RJZMD, Brady CM, Dyer RB. Genitourinary Imaging: The Requisites, 3e (Requisites in Radiology). Elsevier. ISBN:0323057756. Read it at Google Books - Find it at Amazon

Updates to Study Attributes

Findings was changed:

There is a focal echogenic structure with posterior acoustic shadow in the left vesicoureteric junction area. The echogenic structure rolls along the inner inner bladder wall to the dependent portion, when changing the position of the patient.

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