Vesicoureteric stone

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Left flank pain.

Patient Data

Age: 40 years
Gender: Male
x-ray

4mm stone at the left VUJ.

No renal stones projected over the kidneys or line of the right ureter.

Case Discussion

Small distal left ureteric stone - the commonest site for an obstructing ureteric stone.

Less than 5mm stones typically are treated conservatively and pass spontaneously.

If dense on plain radiograph or scanogram of a CT-KUB follow up with plain radiograph imaging is sufficient.

It is good practice when reporting a stone on CT-KUB to inform the referrer if it is visible on plain radiograph for follow up purposes.

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