Ureteric calculus

Case contributed by A.Prof Frank Gaillard

Presentation

Left sided colicky abdominal / loin pain.

Patient Data

Age: 40 years
Gender: Male

X-ray KUB

Modality: X-ray

KUB (frontal and oblique) demonstrate a density just above the transverse process of L3, suspicious for a calculus. 

Annotated image

Modality: Annotated image

Small calculus (blue arrow) is seen on bone projections, in line with the likely course of the ureters. 

CT KUB

Modality: CT

Non contrast CT KUB confirms the presence of a small left ureteric calculus at the level of L3. The collecting system proximal to it is normal in appearance. The stone measure 3 x 4 x 7mm and has a density of 480HU. 

Case Discussion

This patinent went on to pass the stone spontaneously, without additional imaging. 

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Case Information

rID: 16699
Case created: 12th Feb 2012
Last edited: 24th Dec 2015
System: Urogenital
Inclusion in quiz mode: Included

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