Ureterolithiasis

Case contributed by Shervin Sharifkashani
Diagnosis certain

Presentation

Left flank colicky pain with intermittent vomiting for eight days.

Patient Data

Age: 55 years
Gender: Male
ct

A large calculus axial width and coronal height up to 16 x 15 mm in distal left side ureter adjacent to UVJ with pronounced upstream hydroureteronephrosis and tortuous ureter are seen.
Right side inguinal fat hernia is also seen.
Diffuse fatty liver is noted.

Case Discussion

The case illustrates the non-contrast MDCT features of the distal ureteric calculus with pronounced upstream hydroureteronephrosis and tortuous ureter.

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