As of the latest update, Google Chrome and Microsoft Edge have made a breaking change to how file uploads are handled. Once your system installs this update, you will not be able to upload new images. Please use another browser until we can get it fixed.

Vesicoureteric junction calculus

Case contributed by Dr Andrew Dixon

Presentation

Left renal colic.

Patient Data

Age: 55 years
Gender: Male

A 5.0 x 5.5 mm obstructing left ureteric stone is seen at the vesicoureteric junction (VUJ).

Associated hydroureter and hydronephrosis which is mild to moderate in severity.

Left perinephric fat stranding.

Case Discussion

Typical CT appearance of renal colic with an obstructing stone at the left vesicoureteric junction associated with a degree of hydroureter, hydronephrosis and perinephric fat stranding. This is a very common location for a ureteric calculus to lodge. The vast majority of stones that are 4 mm or less will pass naturally into the bladder. This stone measures 5.5 mm, thus might require surgical extraction. 

PlayAdd to Share

Case information

rID: 36503
Published: 29th Apr 2015
Last edited: 30th Oct 2019
System: Urogenital
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.