Abstract
Urinary lithiasis is an affection of high social impact associated with high costs. Its incidence varies from 1 to 15% in the general population and has a recurrence chance of 26-50%. We report one rare case of giant ureteral calculus in the ureteropelvic junction in a patient with complaints of left lumbar pain and recurrent urinary tract infection diagnosed in the outpatients Urology clinics. Antibioticotherapy was instituted and complementary tests were done. The abdomen x-ray showed a large opacity in the left kidney topography, and the computed tomography evidenced a giant left ureteral calculus associated with a large ureteropelvic junction dilation and grade III hydronephrosis. An ureterolitothomy was performed and evidenced a calculus of 9.5x6.5cm and weighting 347g. The patient became well after the surgery, and a pyelogram evidenced dilation of both caliceal groups and left ureter, without any calculus. Urinary lithiasis should be early diagnosed and treated in order to avoid severe complications as the presented here.DOI: http://dx.doi.org/10.3329/jom.v15i1.19884 J Medicine 2014; 15: 91-93
Highlights
Urinary lithiasis is an affection of high social impact associated with high costs.[1]
Renal colic generally occurs when there is obstruction in some portion of the urinary tract by the calculus, and ureterolithiasis is responsible for approximately 56% of renal colic cases.[1]
After patient‘s consent we report one case of ureteral lithiasis with large dimensions in the left ureteropelvic junction diagnosed in the Urology outpatients‘ clinics in the city of Caxias, MA, Northeast Brazil
Summary
Urinary lithiasis is an affection of high social impact associated with high costs.[1]. After patient‘s consent we report one case of ureteral lithiasis with large dimensions in the left ureteropelvic junction diagnosed in the Urology outpatients‘ clinics in the city of Caxias, MA, Northeast Brazil. Case report: A 47 years-old female, farmer, from the city of Caxias, MA, Brazil, seek for medical attention in the Urology outpatients‘ clinics in February 2012 with complaints of intense left lumbar pain, which had suddenly started, type colic, becoming insidious, with periods of relieve and exacerbation, without relation to physical exercise, since 18 months ago. The patient was transferred to the medical ward and it was started gentamicin 800mg/day and ciprofloxacin 400mg/day. One month later a pyelogram was performed and showed dilation of both caliceal groups and left ureter, with contrast elimination 15 minutes after infusion (Figure 3). The patient became clinically stable and had no symptoms in the last medical consultation
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