Jawad Mohammad Jawed, Azim Amiri Abdul, Saljuqi Abdul Tawab
Surgery Department, Herat Medicine Faculty, Herat University, Afghanistan.
Department of Surgery, College of Medicine, University of Arizona, United States.
Urol Case Rep. 2024 Dec 18;60:102915. doi: 10.1016/j.eucr.2024.102915. eCollection 2025 May.
A large ureteral stone is a rare condition that can cause significant complications if untreated. We report the case of a 21-year-old male from Farah province who experienced abdominal pain for eight months, with localized lower abdominal pain for the last two months, and frequent urination but no hematuria. Imaging revealed a 9 × 4 cm stone lodged in the lower ureter. The patient underwent ureterolithotomy, and a double J stent was placed. Postoperative outcomes were excellent. Stones larger than 10 cm are exceptionally rare, and this case emphasizes the need for prompt diagnosis despite atypical symptoms.
巨大输尿管结石是一种罕见病症，若不治疗可导致严重并发症。我们报告一例来自法拉省的21岁男性病例，该患者腹痛8个月，近两个月为下腹部局部疼痛，伴有尿频但无血尿。影像学检查显示一枚9×4厘米的结石嵌顿于输尿管下段。患者接受了输尿管切开取石术，并置入了双J支架。术后效果良好。大于10厘米的结石极为罕见，该病例强调了即便症状不典型也需及时诊断。
