A huge ureteric stone in a functionally, metabolically and anatomically normal kidney: an alliance of rarity

Ann R Coll Surg Engl. 2021 Apr 14. doi: 10.1308/rcsann.2020.7110. Online ahead of print.

Abstract

Urinary stones are a common health problem, necessitating frequent outpatient visits and hospital admissions. Ureteric stones demand special attention, given their propensity for upstream hydroureteronephrosis and loss of renal function. They are usually predisposed by diverse anatomical, functional or metabolic abnormalities of the urinary tract and have an early symptomatic presentation. We report an exceptional clinical presentation of a huge ureteric stone yet functional renal moiety with no obvious anatomical or metabolic predilection for urolithiasis, and its minimally invasive management in a young woman. We emphasise that swift salvaging of the renal function is of utmost importance in these cases. Open exploration can be avoided in favour of laparoscopic ureterolithotomy with better cosmesis and early recovery.

Keywords: Calculi; Functioning kidney; Giant; Ureter.