INTRODUCTION: Primary obstructive megaureter (POM) is uncommon in adults.
Urolithiasis formation may uncover the underlying congenital abnormally of these patients.
PRESENTATION OF CASE: Herein, we present a 20-year-old man who was admitted with synchronous left renal staghorn and a lower giant ureteral stone. Radiologic evaluations revealed that POM is the underlying cause of the uncommon occurrence of synchronous left reno-ureteral stone formation.
DISCUSSION: Urinary tract stones are not uncommon in the POM. Although synchronous renal-ureteral unit stones are less common but staghorn-ureteral stones complex are very rare. In such conditions full radiologic work-up is recommended. Based on our literature review, this is the first reported case of staghorn-ureteral stones complex in the setting of adult POM.
CONCLUSION: In every case with dilated ureter concomitant with ureteral stone or renal stone, the POM should be included in the differential diagnosis.
Written by:
Moslemi MK. Are you the author?
Department of Urology, Kamkar Hospital, School of Medicine, Qom University of Medical Sciences, Qom 3715694978, Iran.
Reference: Int J Surg Case Rep. 2012;3(11):520-2.
doi: 10.1016/j.ijscr.2012.07.006
PubMed Abstract
PMID: 22889706
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