VUJ calculus

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Left loin to groin pain with dipstick hematuria. No known history of renal stone disease.

Patient Data

Age: 30 years
Gender: Female
Race: Caucasian
x-ray

6mm left VUJ calculus ( annotated with the red triangle ).

Radio-opaque on plain film for follow up purposes.

ct

CT-KUB confirms the left VUJ calculus - in the intravesical segment of the distal left ureter.

Resultant mild left nephrohydroureter with periureteric fat stranding.

Case Discussion

Urolithiasis is common.  The single commonest site for a ureteric stone to lodge is in the vesicoureteric junction.

One may perform a limited repeat set of images in the prone position to identify if the stone has already passed into the urinary bladder.

 

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