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Giant ureteral stone.

R B Sabnis1, R M Desai, A M Bradoo

  • 1Department of Urology, L. T. M. G. Hospital and Medical College, Sion, Bombay, India.

The Journal of Urology
|September 1, 1992
PubMed
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A giant ureteral stone caused left pyonephrosis in a 58-year-old man. Nephroureterectomy successfully removed the 13 cm, 90 gm stone, resolving the infection.

Area of Science:

  • Urology
  • Nephrology
  • Medical Case Reports

Background:

  • Pyonephrosis, a severe kidney infection, can result from ureteral obstruction.
  • Giant ureteral stones are rare and pose significant clinical challenges.

Purpose of the Study:

  • To report a rare case of a giant ureteral stone causing pyonephrosis.
  • To describe the management and outcome of this complex clinical presentation.

Main Methods:

  • A 58-year-old male patient presented with symptoms of flank pain and fever.
  • Diagnostic imaging revealed left pyonephrosis, a renal calculus, and a large ureteral stone.
  • Surgical intervention via nephroureterectomy was performed.

Main Results:

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  • The ureteral stone measured an exceptional 13 cm in length and weighed 90 gm.
  • The patient underwent successful nephroureterectomy.
  • Post-operative recovery and resolution of infection were achieved.

    • Conclusions:

    • Giant ureteral stones, though uncommon, necessitate prompt diagnosis and aggressive surgical management.
    • Nephroureterectomy is a viable option for managing extremely large ureteral calculi with associated renal infection.