Sarikaya Selcuk, Resorlu Berkan, Ozyuvali Ekrem, Bozkurt Omer Faruk, Oguz Ural, Unsal Ali
Department of Urology, Kecioren Training and Research Hospital, Kecioren, 06380 Ankara, Turkey.
Case Rep Med. 2013;2013:236286. doi: 10.1155/2013/236286. Epub 2013 Nov 13.
A 28-year old man presented with left flank pain and dysuria. Plain abdominal film and computed tomography showed a left giant ureteral stone measuring 11.5 cm causing ureteral obstruction and other stones 2.5 cm in size in the lower pole of ipsilateral kidney and 7 mm in size in distal part of right ureter. A left ureterolithotomy was performed and then a double J stent was inserted into the ureter. The patient was discharged from the hospital 4 days postoperatively with no complications. Stone analysis was consistent with magnesium ammonium phosphate and calcium oxalate. Underlying anatomic or metabolic abnormalities were not detected. One month after surgery, right ureteral stone passed spontaneously, left renal stone moved to distal ureter, and it was removed by ureterolithotomy. Control intravenous urography and cystography demonstrated unobstructed bilateral ureter and the absence of vesicoureteral reflux.
一名28岁男性因左侧腰痛和排尿困难就诊。腹部平片和计算机断层扫描显示，左侧有一枚11.5厘米的巨大输尿管结石，导致输尿管梗阻，同侧肾下极还有2.5厘米大小的结石，右侧输尿管远端有7毫米大小的结石。行左侧输尿管切开取石术，随后在输尿管内插入双J支架。患者术后4天出院，无并发症。结石分析结果与磷酸镁铵和草酸钙相符。未检测到潜在的解剖或代谢异常。术后1个月，右侧输尿管结石自行排出，左侧肾结石移至输尿管远端，通过输尿管切开取石术将其取出。静脉肾盂造影和膀胱造影检查显示双侧输尿管通畅，无膀胱输尿管反流。
