A huge ureteric stone in a functionally, metabolically and anatomically normal kidney: an alliance of rarity

Urinary stones are a common health problem, necessitating frequent outpatient visits and hospital admissions. Ureteric stones demand special attention, given their propensity for upstream hydroureteronephrosis and loss of renal function. They are usually predisposed by diverse anatomical, functional...

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Bibliographic Details
Published in:Annals of the Royal College of Surgeons of England 2021-06, Vol.103 (6), p.e206-e207
Main Authors: Chaudhary, K, Devana, S K, Tyagi, S, Sharma, A P
Format: Article
Language:English
Subjects:
Female
Flank Pain - etiology
Humans
Kidney - anatomy & histology
Kidney - diagnostic imaging
Kidney - physiology
Laparoscopy
Metabolism
Online Case Report
Tomography, X-Ray Computed
Ultrasonic imaging
Ureteral Calculi - complications
Ureteral Calculi - diagnostic imaging
Ureteral Calculi - surgery
Urology
Young Adult
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Summary:Urinary stones are a common health problem, necessitating frequent outpatient visits and hospital admissions. Ureteric stones demand special attention, given their propensity for upstream hydroureteronephrosis and loss of renal function. They are usually predisposed by diverse anatomical, functional or metabolic abnormalities of the urinary tract and have an early symptomatic presentation. We report an exceptional clinical presentation of a huge ureteric stone yet functional renal moiety with no obvious anatomical or metabolic predilection for urolithiasis, and its minimally invasive management in a young woman. We emphasise that swift salvaging of the renal function is of utmost importance in these cases. Open exploration can be avoided in favour of laparoscopic ureterolithotomy with better cosmesis and early recovery.
ISSN:0035-8843
1478-7083
DOI:10.1308/RCSANN.2020.7110