This patient presented with right-sided groin pain, nausea, vomiting and gross haematuria.
What does this image show?
- This image shows the right kidney in longitudinal section, the lower pole is partially obscured by bowel gas.
- The is mild prominence of the renal pelvis, but this is within normal limits.
- There is no hydronephrosis or hydroureter.
- There are no intrarenal calculi evident.
- There is no perinephric renal fluid – a common finding in acute renal colic.
Convinced the patient has a ureteric calculus, you search the ureter for a stone.
What does this clip show?
- This clip shows the distal right ureter in longitudinal section.
- There is mild hydroureter, which can be followed down to an obstructing calculus.
- Colour Doppler is applied to demonstrate twinkle artefact of the calculus.
What does this transverse image of the bladder demonstrate?
- This image shows a normal appearing right ureteric jet
- The presence of this jet with the absence of hydronephrosis means the VUJ stone is non-obstructive.
Related Clinical Cases
- LITFL Ultrasound library
- RENAL ultrasound MODULES
- LITFL Top 100 ultrasound cases
- RENAL ultrasound WORKED CASES