Vesico-ureteric junction stone

Case contributed by Dr Ian Bickle

Presentation

Left flank pain radiating to the groin and haematuria.

Patient Data

Age: 29
Gender: Male
Modality: Ultrasound

1cm calculus at the left VUJ, with dilated proximal ureter.

Marked acoustic shadowing from the calcific stone.

Modality: Annotated image

VUJ calculus (red arrow) with marked acoustic shadowing (blue arrow) .

U =  the dilated proximal ureter.

Case Discussion

The VUJ is the commonest place in the ureter for a stone to obstruct the urinary tract.

This stone is within the short narrow intra-vesical component of the ureter - hanging on for dear life!

The acoustic shadowing is well demonstrated along with the dilatation of the proximal ureter.

The majority of stones once they have reached this far will pass into the bladder with conservative management.

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Case Information

rID: 37602
Case created: 15th Jun 2015
Last edited: 29th Jan 2017
System: Urogenital
Inclusion in quiz mode: Included

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