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Urolithiasis: the influence of stone size on management

Nature Clinical Practice Urology volume 4, pages 570–573 (2007)Cite this article

Abstract

Background A 37-year-old female presented with pain in the right lower lateral abdomen. She had experienced a ureteral stone in the past.

Investigations Serum electrolyte levels, blood urea nitrogen, serum creatinine level, full blood count, urinalysis, CT.

Diagnosis Urolithiasis.

Management Cystoscopy and right retrograde pyelogram.

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Figure 1: Axial images of a CT scan of the abdomen and pelvis, showing a 4 mm calculus in the right distal ureter near the ureterovesical junction causing mild hydronephrosis.
Figure 2: Coronal images of a CT scan of the abdomen and pelvis, showing a 4 mm calculus proximal to the ureterovesical junction.
Figure 3: Cystoscopy of the right ureter depicting the calculus.

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Authors and Affiliations

  1. and M Cotant is an Attending Physician in the Department of Urology at St Joseph Mercy Oakland Hospital, A Mahmood is a Resident at St Joseph Mercy Oakland Hospital, A Silbergleit is the Director of Surgery at St Joseph Mercy Oakland Hospital and Clinical Professor of Surgery at Wayne State University, R Olson recently retired as Vice Provost for Research at Oakland University, Pontiac, MI, USA.,

    Ali Mahmood, Allen Silbergleit, Ronald Olson & Michael Cotant

Authors
  1. Ali Mahmood
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  2. Allen Silbergleit
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  3. Ronald Olson
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  4. Michael Cotant
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Correspondence to Ali Mahmood.

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The authors declare no competing financial interests.

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Mahmood, A., Silbergleit, A., Olson, R. et al. Urolithiasis: the influence of stone size on management. Nat Rev Urol 4, 570–573 (2007). https://doi.org/10.1038/ncpuro0934

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