Natami Mohammad, Makarem Alireza, Ahmed Faisal, Dastgheib Niloofar, Zahraei Ali-Hossein
Department of Urology, Hormozgan University of Medical Science, Bandar Abbas, Iran.
Department of Urology, Shiraz University of Medical Science, Shiraz, Iran,
Int Med Case Rep J. 2019 Feb 18;12:43-46. doi: 10.2147/IMCRJ.S192592. eCollection 2019.
Giant ureteral calculi are defined as stones greater than 5 cm in length or circumference. These giant calculi can cause blockage of the ureter, dilation of the kidney and also decreased kidney function if not treated in time. The patient in this report presented with complaints of bilateral episodic pain of the bilateral lumbar region. Kidney, ureter and bladder (KUB) X-ray test showed a large bilateral ureteral stone about 14 cm in length and 106 g weight in the left ureter and 3 cm longitudinal diameter in the right ureter and also a staghorn stone in the left upper collecting system. Thereafter, the ureteric calculi were managed successfully using the combination of open and endoscopic techniques.
巨大输尿管结石被定义为长度或周长大于5厘米的结石。这些巨大结石可导致输尿管梗阻、肾脏扩张，若不及时治疗还会导致肾功能下降。本报告中的患者主诉双侧腰部阵发性疼痛。肾脏、输尿管和膀胱（KUB）X线检查显示，左侧输尿管有一个长约14厘米、重106克的双侧巨大输尿管结石，右侧输尿管纵径为3厘米，左肾上极集合系统还有一个鹿角形结石。此后，通过开放手术和内镜技术相结合的方式成功处理了输尿管结石。
