Ureterolithiasis

Case contributed by Mate Kover
Diagnosis certain

Presentation

Left-sided abdominal pain. Ultrasound examination found pyelectasia in the left kidney.

Patient Data

Age: 40 years
Gender: Male
ct

At the ureterovesical junction, an approximately 7 mm maximum diameter stone was found.  The ureter and renal pelvis were dilated. In the distal part of the ureter, fatty infiltration was also seen; infection or inflammation could be the cause.
In the left kidney, a cyst with calcification was found.
The liver density was low, compatible with steatosis.
The mesentery is a higher density with circumscribed, small lymph nodes.
Sigmoid diverticulosis was also visible.

Case Discussion

Left-sided abdominal pain dilated left renal pelvis, and proximal ureter was found during the ultrasound examination. Non-contrast CT was performed to visualize the stone, which was found at the ureterovesical junction.

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