Giant Calculus in the Ureteropelvic Junction: A Case Report

Authors

  • Luis Domingos R. Costa School of Medicine, State University of Maranhão. Caxias
  • Raffael M. Alvarenga School of Medicine, State University of Maranhão. Caxias
  • Yvis E. De Jesus De Oliveira School of Medicine, State University of Maranhão. Caxias
  • Fernanda T. Soares School of Medicine, State University of Maranhão. Caxias
  • Geraldo B Silva Junior Federal University of Ceara
  • Elizabeth F. Daher Federal University of Ceara

DOI:

https://doi.org/10.3329/jom.v15i1.19884

Keywords:

Urine lithiasis, Urine calculus, Ureteropelvic junction, Lithotomy

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

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Author Biographies

Luis Domingos R. Costa, School of Medicine, State University of Maranhão. Caxias

Medicine

Raffael M. Alvarenga, School of Medicine, State University of Maranhão. Caxias

Medicine

Yvis E. De Jesus De Oliveira, School of Medicine, State University of Maranhão. Caxias

Medicine

Fernanda T. Soares, School of Medicine, State University of Maranhão. Caxias

Medicine

Geraldo B Silva Junior, Federal University of Ceara

Medicine

Elizabeth F. Daher, Federal University of Ceara

Medicine

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Published

2014-08-06

How to Cite

Costa, L. D. R., Alvarenga, R. M., Oliveira, Y. E. D. J. D., Soares, F. T., Junior, G. B. S., & Daher, E. F. (2014). Giant Calculus in the Ureteropelvic Junction: A Case Report. Journal of Medicine, 15(1), 91–93. https://doi.org/10.3329/jom.v15i1.19884

Issue

Vol. 15 No. 1 (2014)

Section

Case Reports

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