Anat Cell Biol.  2014 Dec;47(4):267-270. 10.5115/acb.2014.47.4.267.

Unilateral ureteric stone associated with gross hydronephrosis and kidney shrinkage: a cadaveric report

Affiliations
  • 1Department of Anatomy, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. antoi@nus.edu.sg antngyk@nus.edu.sg

Abstract

Ureteric stones are a common cause of obstruction of the urinary tract, usually presenting with characteristic signs and symptoms, such as acute ureteric colic and hematuria. Occasionally, stones may present with non-specific symptoms such as low back pain and remain unidentified, leading to stone growth, chronic ureteric obstruction and complications such as hydronephrosis and renal damage. Here, we report a large ureteric stone in a cadaver with complete obstruction at the left ureterovesical junction, resulting in severe dilatation of the left ureter and renal pelvis.

Keyword

Ureteric stone; Hydronephrosis; Dilated ureter

MeSH Terms

Cadaver*
Colic
Dilatation
Hematuria
Hydronephrosis*
Kidney Pelvis
Kidney*
Low Back Pain
Ureter*
Urinary Tract

Figure

  • Fig. 1 Photograph showing the severely dilated left ureter as well as shrunken nodular appearance of the left kidney. Although the left ureter was completely obstructed, the right kidney does not seem to have any compensatory enlargement. LK, left kidney; LU, left ureter; RK, right kidney; RU, right ureter.

  • Fig. 2 Macroscopic view of the huge, dark-coloured ureteric stone (25mm×11 mm) lodged at the left ureterovesical junction.

  • Fig. 3 Sagittal section view of the left kidney demonstrating a dilated renal pelvis due to prolonged obstruction. DRP, dilated renal pelvis; HU, hydronephrotic ureter.


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