Bladder oedema due to ureteric stone.

Abstract

The use of intravenous urography in patients with suspected renal colic is now widely established. In the majority of cases with ureteric stone the findings are predictable and well known. There is delay in excretion of the contrast with an accentuated nephogram; later films show distension of the calyces, pelvis and ureter down to the point of obstruction. It is less well recognised that the bladder may sometimes show changes due to the presence of a calculus in the lowermost portion of the ureter. This paper describes two cases in whom lower ureteric stone caused bladder oedema sufficient to produce a striking filling defect. A 26-year-old man was admitted on 7.8.67 with a history of 24 hours of right lower abdominal pain radiating into the right lumbar region. There had been slight dysuria, but there was no history of previous urinary tract disease. Physical examination revealed slight right-sided abdominal tenderness, but was otherwise negative. Radiographs of the chest and abdomen were normal. There ...