PMC9979919_01
A) POCUS image of left kidney with large stone in the renal pelvis (blue arrow) and hydronephrosis. B) left iliac artery (blue chevrons). C) CT image of left kidney the renal pelvis stone (blue arrow) and lower pole non-obstructing stones (orange arrow) and D) left iliac artery with aneurysm (blue chevrons).
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The ultrasound revealing a large left renal stone with associated hydronephrosis (Figure 1A), a non-aneurysmal aorta, and an enlarged left iliac artery (Figure 1B, online Video S1). A CT scan confirmed the presence of multiple left-sided renal stones with hydronephrosis including a 2cm cluster in the renal pelvis (Figure 1C) and a 6.7cm ruptured left isolated iliac artery aneurysm (IAA; Figure 1D).