Ureterovesical junction calculus

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis certain


Right flank pain, vomiting, dysuria, and hematuria.

Patient Data

Age: 30 years
Gender: Male

There is no evidence of the existence of calcified shadows along the ureter course.

  • ureteric stone (S) is seen in the right UVJ

  • mild hydronephrosis of the right kidney

  • edema in the ureteric wall around the stone

Case Discussion

When we do not find a shadow of a ureteral stone on the x-ray, this does not mean that there is no stone, as it depends on the percentage of the presence of calcium in the composition of this stone, as some types of stones do not give a shadow on the x-ray.

The UVJ is the most common site of ureteric stones 1.

Therefore, the sensitivity of ultrasound in diagnosing ureteral or renal stones is better than X-rays 1.

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