PMC6340376_01
CT scan with stone in the mid ureter shown by the yellow arrow. CT, computed tomography.
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CT scan showed a 7-mm mid ureteral stone in a right-sided cross-fused renal ectopia (Fig. 1).
Bilateral retrograde pyelogram depicting the urinary system of the right-sided cross-fused renal ectopia. Arrow is pointing to the location of the stone in the left mid ureter.
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The stone was seen in the left mid ureter (Fig. 2).
Flexible ureteroscopy was used to remove the stone. Yellow arrow points to the stone and red arrow points to the position of the access sheath tip.
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Care was taken not to advance it past the acute angulation of the ureter as it crossed the pelvis to the right side (Fig. 3).
Double-J ureteral stent placement.
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Then using a 5F ureteral access catheter, the length of the ureter was measured at 26 cm, thus a 7F x 26 cm Double-J ureteral stent was placed on a dangle (Fig. 4).