Ureteral calculus

Case contributed by Dr Sajoscha Sorrentino

Presentation

Left flank pain

Patient Data

Age: 25 years
Gender: Female
X-ray

Plain film shows a prevesical stone on the left.

13 minutes after infusion of contrast medium, the right kidney shows contrast within the collecting system and ureter while the left kidney does not. These features represent a delayed nephrogram.

Mild hydronephrosis of the left kidney with distention of the corresponding ureter two hours post-contrast administration.

Case Discussion

This examination demonstrates the typical intravenous pyelogram (IVP) features of collecting system dilatation and a delayed nephrogram secondary to a distal obstructing calculus. In this case, the calculus is well seen radiographically.  

Treatment depends on the location of the stone, composition and size.

Irrespective of stone composition, patients who present with renal colic require assessment. Approximately 90% of stones less than 4 mm are likely to pass down the ureter and into the bladder, and thus often require no more than analgesia and hydration 1.

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Case information

rID: 16548
Published: 27th Jan 2012
Last edited: 7th Oct 2019
System: Urogenital
Tag: ivp
Inclusion in quiz mode: Included

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