Retrograde migration of a vesicoureteric junction calculus: A potential pitfall of the noncontrast limited pelvic computerized tomography
File(s)
Author(s)
Miah, Saiful
Connor, Martin J
Wiseman, Oliver
Shah, Nimish
Type
Journal Article
Abstract
Retrograde ureteric calculus migration is a rare phenomenon. Herein, we report two such cases where each patient presented with a calculus, measured at 5 mm and 6 mm, respectively, at the vesicoureteric junction (VUJ) on noncontrast computerized tomography kidneys, ureters, and bladder (CTKUB). Following acute presentation with renal colic, each patient opted for conservative management of their ureteric stone and became asymptomatic when undergoing their follow-up imaging. The first patient underwent a follow-up noncontrast limited pelvic computerized tomography (CT) where it had appeared that the radiolucent VUJ calculus had passed. This stone was then discovered incidentally 3 months later in the upper ureter when the patient had undergone a CT colonography. The other patient underwent a follow-up X-ray KUB where the stone was shown to have migrated to the lower renal pole calyx which was confirmed with noncontrast CTKUB imaging. In all reported cases of retrograde VUJ calculus migration, the use of a noncontrast limited pelvic CT scan either missed or would have missed this phenomenon. This potential pitfall of the noncontrast limited pelvic CT scan should be appreciated and the use of full upper renal tract imaging should be considered for the follow-up of radiolucent VUJ calculus cases whereby there is no clear history of calculus passage.
Date Issued
2021-01-19
Date Acceptance
2020-08-16
Citation
Urology Annals, 2021, 13 (1), pp.80-82
ISSN
0974-7796
Publisher
Medknow Publications
Start Page
80
End Page
82
Journal / Book Title
Urology Annals
Volume
13
Issue
1
Copyright Statement
© 2021 Urology Annals | Published by Wolters Kluwer - Medknow. This is an open access journal, and articles are distributed under the terms of the Creative
Commons Attribution‑NonCommercial‑ShareAlike 4.0 License, which allows others to
remix, tweak, and build upon the work non-commercially, as long as appropriate credit
is given and the new creations are licensed under the identical terms.
Commons Attribution‑NonCommercial‑ShareAlike 4.0 License, which allows others to
remix, tweak, and build upon the work non-commercially, as long as appropriate credit
is given and the new creations are licensed under the identical terms.
Identifier
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Subjects
Science & Technology
Life Sciences & Biomedicine
Urology & Nephrology
Noncontrast limited pelvic computerized tomography scan
renal colic
ureteric stone
urolithiasis
Publication Status
Published
Date Publish Online
2021-01-19