Vesicoureteric junction calculus

Case contributed by Dr Maulik S Patel

Presentation

Left-sided loin to groin pain with vomiting for the last 3 days.

Patient Data

Age: 50 years
Gender: Female
Ultrasound

Transabdominal scan with distended urinary bladder shows left-sided mild hydronephrosis. However, a calculus could not be seen at the left vesicoureteric junction.

Transvaginal scan shows left vesicoureteric junction calculus measuring about 4 mm.

Case Discussion

A female patient presented with left-sided renal colic. There is a left vesicoureteric junction calculus detected by the transvaginal scan; which is the most common site of ureteric calculus. 

This case shows the importance of one of the non-gynecologic applications of transvaginal ultrasound.

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