Giant ureteral stone in association with primary megaureter presenting as an acute abdomen.
A 20-year-old woman presented with abdominal pain of 4-h duration and of sudden onset. A plain abdominal radiograph showed a giant ureteral stone measuring 12 cm causing ureteral obstruction. Abdominal ultrasound revealed severe dilatation of the two upper thirds of the left ureter and a hydronephrotic ipsilateral kidney. Subsequent renal scan demonstrated that it was a non-functional kidney while the contralateral kidney was normal. A left nephroureterectomy was performed.
Delakas
Dimitrios
D
Department of Urology, General University Hospital of Heraklion, 71110 Heraklion, Crete, Greece.
Daskalopoulos
George
G
Karyotis
Ioannis
I
Metaxari
Maria
M
Cranidis
Angelos
A
D000006:Abdomen, Acute / Q000209:etiology*; D000328:Adult; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000473:pathology; D011859:Radiography; D014513:Ureter / Q000002:abnormalities* / Q000000981:diagnostic imaging; D014514:Ureteral Calculi / Q000150:complications / Q000175:diagnosis*