A giant ureteric calculus
A 35-year-old lady presented with complaints of episodic pain in the right lumbar region for 1 year. Previously she was treated and the symptom subsided. On evaluation found to have large calculus in the right lower ureter causing severe proximal Hydroureteronephrosis and her physical examination was unremarkable. An X-ray of the kidney-ureter-bladder region showed a long slender calculus in the right lower ureter []. Her renal function was normal. Intravenous urography revealed good excretion of contrast from the left kidney, but no excretion was observed on the right side. Tc99 DTPA renal scan revealed right kidney has less function as compared to the left kidney.\nShe underwent laparoscopic right ureterolithotomy with removal of a giant ureteric calculus, 11 cm in longitudinal and 1.5 cm in transverse length []. The stone weighed 40 g. Post-operatively she recovered well and discharged and she remained well in follow-up.