Ureterolithiasis

Case contributed by Dr Varun Babu

Presentation

Left ureteric colic.

Patient Data

Age: 45 years
Gender: Male
X-ray

Abdomen frontal radiograph

  • right 12th rib overlying radiodensity in the right renal region. 
  • two tandem radiodensity in left hemipelvis aligned along the probable course of left distal ureter. 
CT

CT KUB

  • solitary gall stone. 
  • right lower calyx stone. 
  • two tandem left distal ureter calculus with secondary proximal hydroureteronephrosis. 
  • the back pressure changes are reflected with the perinephric and periureteric fat stranding.  
X-ray

Abdomen frontal radiograph post DJ stenting

  • left DJ stent in situ. 
  • non visualization of left distal ureter calculus in this follow up study. 

Case Discussion

Familiarity of reading abdominal radiographs is important as a preliminary imaging at admission along with sonogram. Obstructive uropathy warrants immediate treatment to prevent ascending upper tract infection. 

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Case information

rID: 46796
Case created: 17th Jul 2016
Last edited: 30th May 2017
System: Urogenital
Inclusion in quiz mode: Included

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