Case Study - January 2014

This 38 year old gentleman was seen in clinic 2 weeks after admission with acute right loin pain.

  1. What does this CT show?

2. What are the possible treatment options?

3. What are the different forms of shockwave treatment?

4. What are the side effects of this treatment?

Reveal Answer

1. The CT scan shows a right-sided 10mm obstructing stone with associated right hydroureter and hydronephrosis.

2. Medical expulsive therapy (usually with tamsulosin), extracorporeal shockwave treatment and ureteroscopy and laser stone fragmentation.

3. Electrohydraulic, electromagnetic and piezoelectric.

4. Failure, pain, ureteric obstruction from stone fragments or oedema, haematuria.

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