Right Sided Ureterocele Presented with Multiple Calculi: A Rare Case Report

Abstract

 An ureterocele is a congenital abnormality found in the ureter where the distal ureter balloons at its opening into the bladder, forming a sac-like pouch. It is most often associated with a duplicated collecting system, where two ureters drain their respective kidney instead of one. Ureterocele occur in approximately 1 out of every 4,000 babies and are 10 times more common in girls than in boys with a left sided preponderance because a duplex collecting system (two ureters for one kidney) is more common in girls. This case report is about a 34 years old male patient complaining of lower abdominal pain, burning pain during micturation (dysuria), flank pain occasionally on right side and frequent urination. On USG and IVP x-ray, diagnosis was made as right renal hydronephrosis with right hydroureter due to right side intravesical ureterocele with right vesicoureteric calculi (multiple about 265 stones). Ureterocoele was incised endoscopically and total 265 small calculi was removed.