PMC6216091_01
impacted left ureteric stone causing severe left hydroureteronephrosis.
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PMC6216091_01_gr1.jpg
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Abdominal and pelvic ultrasound (US) showed incidental finding of severe left hydroureteronephrosis with almost lost of cortical thickness, for that abdominal and pelvic computed tomography (CT) scan revealed marked left-sided hydroureteronephrosis and an impacting stone measuring (18 x 10 x 10 mm) at the level of L5/S1 (Fig. 1) with signs of DVT affecting left iliac and femoral vein below the above mentioned region (Fig. 2).
Post operative KUB showing JJ stent and nephrostomy tube.
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PMC6216091_01_gr3.jpg
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Through pneumatic lithotripsy, the stone was fragmented and JJ stent inserted (Fig. 3).