Presentation
Hypertension since 08/2022. No other associated condition. Non-Smoker / non-alcoholic / non-tobacco chewer. Family history: nonsignificant. General systemic examination: normal
Patient Data
Two large and oval radio-opaque shadows are noted in the pelvis, the largest measuring about 61 x 51 mm, compatible with urinary bladder stones.
Two large and oval radio-opaque urinary bladder stones in the pelvis, the largest measuring about 61 x 51 mm.
Case Discussion
A hypertension patient since 08/2022, came for a check-up, urine analysis showed plenty of pus cells, RBCs 8-10, leukocytes positive ++++, serum creatinine 123.1 mmol/L, urine microalbumin 71 mg/L, albumin creatinine ratio 14.18 mg/mmol.
KUB ultrasound was requested and showed:
bilateral moderate-severe hydroureteronephrosis, and bilateral hyperechoic renal cortex
urinary bladder showed two large stones measuring 40 mm & 60 mm with debris seen in the urinary bladder and distal third of the dilated ureter bilaterally
right side bladder diverticulum measures 2.8 x 2 cm with debris inside
Then KUB X-ray was requested to show the results above.