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Urolithiasis secondary to primary obstructive megaureter in an adult: a case report.

Authors :
Tenkorang S
Omana JP
Mellas S
Tazi FM
El Ammari JE
Khallouk A
El Fassi MJ
Farih MH
Source :
Journal of medical case reports [J Med Case Rep] 2017 Jul 01; Vol. 11 (1), pp. 177. Date of Electronic Publication: 2017 Jul 01.
Publication Year :
2017

Abstract

Background: Primary obstructive megaureter is relatively uncommon in adults. This condition usually regresses spontaneously or is treated during infancy. It can remain asymptomatic for decades until adulthood when symptoms may manifest in the event of complications or during a routine radiologic imaging. Primary obstructive megaureter has been reported to favor stone formation in the upper urinary tract.<br />Case Presentation: We present the case of a 35-year-old Moroccan man who had a 10-year history of intermittent left flank pain and hematuria. A computed tomography urogram revealed a left megaureter with giant ureteral and renal calculi.<br />Conclusions: Primary obstructive megaureter should be a differential diagnosis in an adult with hydroureteronephrosis associated with urolithiasis especially when there is kidney impairment. Through this case report we will discuss the diagnosis and management of primary obstructive megaureter associated with urolithiasis in adults.

Details

Language :
English
ISSN :
1752-1947
Volume :
11
Issue :
1
Database :
MEDLINE
Journal :
Journal of medical case reports
Publication Type :
Academic Journal
Accession number :
28666482
Full Text :
https://doi.org/10.1186/s13256-017-1342-z