A Cadaveric Report on a Giant Ureteric Stone Led Right Hydro Ureter and Severe Hydronephrosis

Abstract

BACKGROUND: The ureter shows natural constrictions in itscourse, and these are the potential site for the impaction of therenal calculus. Giant ureteral stones are associated with insidiousgrowth and late presentation, often leading to renal failure.CASE PRESENTATION: In the present case, we observed a hugeureteric stone obstructing the right ureterovesical junction in a 58year-old male cadaver. We also found hydroureter distal to theimpaction of the calculus, renal damage and severe hydronephrosison the right side. Histopathological analysis showed conditions ofarterio-nephro-sclerosis and eroded ureter secondary to thecalculus. Ureteric stones obstruction may result in hydroureter,hydronephrosis and progressive renal damage leading toirreversible renal function. The present case provides valuableinformation regarding the gross and histopathological alterationsin ureteric calculi.CONCLUSION: It further enables clinicians to be armed with theknowledge of preventive approaches to educate patients withprevious calculi, or those who may develop in the future.KEYWORDS:Hydronephrosis,Kidney,SouthIndian,Histopathological, Ureteric stone.