Abstract
A 56-year-old man with ischemic heart disease presented to the hospital with a 3-day history of sudden and constant pain in the left flank. Physical examination revealed left abdominal and flank tenderness. Laboratory tests revealed a white blood cell count of 13,400 cells per cubic millimeter with 90% neutrophils, a blood urea nitrogen level of 20 mg/dL, a serum creatinine level of 1.3 mg/dL and a normal urinalysis. An abdominal computed tomography scan without contrast showed a small calcification in the area of the left distal ureter (Figure 1, arrow).
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