Obstructive ureterocele stone mimicking an intravesical ston
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A 69-year-old man presented to the emergency department for sudden onset of severe right flank pain radiating to the groin. Lab tests were all negative. Right renal colic was clinically suspected and a non-contrast abdominal computed tomography (CT) was performed to rule out an obstructive ureteral stone or other intra-abdominal abnormalities. CT scan showed a right uretero-pyelo-calyceal dilatation (Figure 1) with the presence of a 3.6 mm hyperdense stone in an almost empty bladder (Figure 2). A non-obstructive left renal stone was also present. The rest of the exam was unremarkable. The patient was discharged home after he received the post-hospital discharge protocol specific to his case. Three weeks later, as part of the regular follow up, an abdominal ultrasound was performed that showed resolution of the right hydronephrosis with evidence of bilateral ureterocele,
more prominent on the right (Figure 3). No urinary tract stone was seen...

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