A large ureteric calculus: is there a role for open surgery in the modern era?

Haraesh Maranna; Tariq Hameed; Pawan Lal

doi:10.18203/2349-2902.isj20194458

Authors

Haraesh Maranna Department of Surgery, Maulana Azad Medical College and Associated Hospitals, New Delhi
Tariq Hameed Department of Surgery, Maulana Azad Medical College and Associated Hospitals, New Delhi
Pawan Lal Department of Surgery, Maulana Azad Medical College and Associated Hospitals, New Delhi

DOI:

https://doi.org/10.18203/2349-2902.isj20194458

Keywords:

Recurrent urinary tract infection, Open ureterolithotomy, Large ureteric calculus

Abstract

A 36 year old gentleman presented with recurrent urinary tract infections, hematuria and lump in the left side of abdomen for 4 months. Clinically a soft, non-tender lump in left lumbar region with well-defined margins was palpable. CT scan of abdomen revealed a calculus of size 45 mm at the left vesico-ureteric junction with gross left hydronephrosis. Patient underwent open ureterolithotomy in view of the large size of calculus and due to stone impaction. Post-operative period was uneventful. Patient was followed up for 6 months and remained asymptomatic.

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