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This is due to the transfer of referred pain signals from the lower thoracic splanchnic nerves to the lumbar splanchnic nerves as the stone passes down from the kidney or proximal ureter to the distal ureter. This pain, known as renal colic, is often described as one of the strongest pain sensations known. [15]
A giant ureteral stone with dimensions of approximately 6 × 5 × 4 cm and weighing 61 grams extracted from the left ureter of a 19-year-old male A kidney stone can move from the kidney and become lodged inside the ureter, which can block the flow of urine, as well as cause a sharp cramp in the back, side, or lower abdomen . [ 9 ]
Hydronephrosis due to a kidney stone at the ureteral vesicular junction seen on CT scan Prenatal diagnosis is possible, [ 9 ] and in fact, most cases in pediatric patients are incidentally detected by routine screening ultrasounds obtained during pregnancy. [ 10 ]
Kidney stones are becoming more common with time, and their incidence is believed to increase recently due to unhealthy diet habits. The passage of kidney stones into ureters might lead to their impaction and the development of local inflammatory process around the stone in addition to the obstruction of the ipsilateral kidney and build up of pressure manifested as hydronephrosis.
In this condition the distal ureter balloons at its opening into the bladder, forming a sac-like pouch. It is most often associated with a duplicated collection system, where two ureters drain their respective kidney instead of one. Simple ureterocele, where the condition involves only a single ureter, represents only twenty percent of cases.
Renal colic (literally, kidney pain), also known as ureteric colic (literally, pain in the ureters), is characterized by severe abdominal pain that is spasmocic in nature. This pain is primarily caused by an obstruction of one or both ureters from dislodged kidney stones .
A calculus (pl.: calculi), often called a stone, is a concretion of material, usually mineral salts, that forms in an organ or duct of the body. Formation of calculi is known as lithiasis ( / ˌ l ɪ ˈ θ aɪ ə s ɪ s / ).
Under normal conditions, the ureter is not seen with US. However, in, e.g., urinary obstruction and vesicoureteric reflux with dilation of the ureter, the proximal part in continuation with the renal pelvis, as well as the distal part near the ostium can be evaluated (Figure 14). [1]