A giant ureteric calculus

Area of Science:

• Urology
• Nephrology
• Surgical Case Reports

Background:

• Ureteric stones are typically small and cause significant symptoms.
• Large ureteral calculi are rare and can present atypically.

Purpose of the Study:

• To report a rare case of a giant ureteric calculus.
• To describe the successful laparoscopic management of this large stone.

Main Methods:

• A 35-year-old female presented with a right distal ureteric calculus and hydroureteronephrosis.
• Laparoscopic right ureterolithotomy was performed for stone extraction.

Main Results:

• A giant ureteric calculus measuring 11 cm x 1.5 cm and weighing 40 g was successfully retrieved.
• The patient experienced minimal symptoms despite the large stone size.

Conclusions:

• Giant ureteric calculi can occur even with minimal symptoms.
• Laparoscopic ureterolithotomy is an effective treatment for large ureteral stones.