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Ultrasonography of calculi in ureteroceles

Ultrasonography of calculi in ureteroceles Ali N. Khan, MRCP, FRCR, Caroline M. Boggis, MBChB, FRCR, and Raymond J. Ashleigh, MBChB, FRCS Simple ureteroceles are usually asymptomatic and a chance finding on excretory urography. However, stone formation is frequent in uretero~ e l e s , ’ -and in patients presenting with colic, ~ ultrasound studies may provide unique diagnostic information not obtainable by an intravenous urogram. Two patients are presented with calculi in a simple ureterocele not detected by excretory urography , but diagnosed accurately by sonography. Stone-like echoes within the ureterocele were easily detected by ultrasound. CASE 1 showed a small right ureterocele, but with no evidence of radioopaque calculi (Figure 3). Sonography confirmed the presence of a ureterocele and also demonstrated highy reflective echoes with acoustic shadowing within the ureterocele very suggestive of a calculus (Figure 4). The patient’s symptoms settled over the next few hours. At cystoscopy, the right ureter was catheterized and a meatotomy was performed; no calculus was found. A repeat postoperative ultrasonogram confirmed the meatotomy and the stonelike echoes had disappeared (Figure 5). The patient had presumably passed the calculus spontaneously before the cystoscopy. A 31-year-old man presented with a sudden onset of typical left ureteric colic http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Ultrasound Wiley

Ultrasonography of calculi in ureteroceles

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References (9)

Publisher
Wiley
Copyright
Copyright © 1989 Wiley Periodicals, Inc., A Wiley Company
ISSN
0091-2751
eISSN
1097-0096
DOI
10.1002/jcu.1870170612
Publisher site
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Abstract

Ali N. Khan, MRCP, FRCR, Caroline M. Boggis, MBChB, FRCR, and Raymond J. Ashleigh, MBChB, FRCS Simple ureteroceles are usually asymptomatic and a chance finding on excretory urography. However, stone formation is frequent in uretero~ e l e s , ’ -and in patients presenting with colic, ~ ultrasound studies may provide unique diagnostic information not obtainable by an intravenous urogram. Two patients are presented with calculi in a simple ureterocele not detected by excretory urography , but diagnosed accurately by sonography. Stone-like echoes within the ureterocele were easily detected by ultrasound. CASE 1 showed a small right ureterocele, but with no evidence of radioopaque calculi (Figure 3). Sonography confirmed the presence of a ureterocele and also demonstrated highy reflective echoes with acoustic shadowing within the ureterocele very suggestive of a calculus (Figure 4). The patient’s symptoms settled over the next few hours. At cystoscopy, the right ureter was catheterized and a meatotomy was performed; no calculus was found. A repeat postoperative ultrasonogram confirmed the meatotomy and the stonelike echoes had disappeared (Figure 5). The patient had presumably passed the calculus spontaneously before the cystoscopy. A 31-year-old man presented with a sudden onset of typical left ureteric colic

Journal

Journal of Clinical Ultrasound – Wiley

Published: Jul 1, 1989

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