A Giant Ureteral Stone without Underlying Anatomic or Metabolic Abnormalities: A Case Report

Area of Science:

• Urology
• Nephrology
• Medical Imaging

Background:

• Giant ureteral stones are rare and can cause significant urinary obstruction.
• Accurate diagnosis and timely management are crucial for patient outcomes.

Purpose of the Study:

• To report a case of a large ureteral stone and its management.
• To discuss the diagnostic and therapeutic approach for complex ureteral calculi.

Main Methods:

• A 28-year-old male presented with flank pain and dysuria.
• Diagnostic imaging included plain abdominal film and computed tomography.
• Surgical intervention involved ureterolithotomy and double J stent insertion.

Main Results:

• A left giant ureteral stone (11.5 cm) causing obstruction was successfully removed.
• Associated renal and contralateral ureteral stones were managed.
• Postoperative recovery was uneventful, with spontaneous passage of the right ureteral stone and removal of the left renal stone.
• Follow-up imaging confirmed unobstructed ureters and no vesicoureteral reflux.

Conclusions:

• Giant ureteral stones require prompt surgical intervention.
• A multi-stage approach may be necessary for managing multiple calculi.
• Successful management leads to favorable patient outcomes and restored renal function.