This is an Erect Abdominal X-ray of a 45 year old man who was complaining of severe left sided loin to groin pain which was subsided after giving Diclofenac Na+ rectally.Comment on this X-Ray?




ANSWER -Left Sided Ureteric Calculus

Most urinary tract stones occur in the upper urinary tract.Most are radio-opaque.Although some renal stones remain asymptomatic, most will at some time result in pain.The composition & sizes varies widely.

Aetiology
  • Most of them are Idiopathic
  • Hypercalciuria
  • Hyperoxcaluria
  • Hyperuriceamia
  • Cystinuria

CLINICAL FEATURES
Clinical features depend on the site of the stone impaction

In Minor or Major calyx system in the Kidney - Vague Flank Pain,haematuria

In theProximal Ureter(Vesicoureteric junction) - Flank pain,Renal Colic,Upper Abdominal pain

In the Distal Ureter - Renal colic, Dysuria, Urinary frequency, Anterior abdominal pain, Flank pain 

Other Symptoms - Nausea/Vomiting, Hydronephrosis

INVESTIGATIONS
  • X-Ray KUB
  • IVU
  • Retrograde Pyelogram
  • Non Contrast CT is  the gold-standard diagnostic test for the detection of kidney stones
  • USS - It gives an idea about the presence of Hydronephrosis AND  Radiolucent stones canalso be seen.





Stumble
Delicious
Technorati
Twitter
Facebook

4 comments

  1. Anonymous Says:
  2. diffuse meteorisms

     
  3. Anonymous Says:
  4. Clinically suggest of Ureter Colic, but from radiologically couldn't confirm for that, but it shows diffuse meteorism

     
  5. Anonymous Says:
  6. i know that uretric colic cause loin to groin pain but really i can't give dx her without the hx it isn't obvious on the x ray can any explain this x ray to me,please

     
  7. Anonymous Says:
  8. I think a complete large intestinal obstruction, beacause the first part in left side contains air and then there isn't air (because of the obstruction), isn't it?

     

Post a Comment

GET UPDATES!!!!

Subscribe by E-mail & receive updates your inbox!
Enter your email address:

FAN PAGE

Followers

Recent PPTs

Medical Guidelines