Journal of Medical Case Reports (Jul 2017)

Urolithiasis secondary to primary obstructive megaureter in an adult: a case report

  • Somuah Tenkorang,
  • Jean-Paul Omana,
  • Soufiane Mellas,
  • Fadl Mohammed Tazi,
  • Jalal Eddine El Ammari,
  • Abdelhak Khallouk,
  • Mohammed Jamal El Fassi,
  • Moulay Hassan Farih

DOI
https://doi.org/10.1186/s13256-017-1342-z
Journal volume & issue
Vol. 11, no. 1
pp. 1 – 4

Abstract

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Abstract Background Primary obstructive megaureter is relatively uncommon in adults. This condition usually regresses spontaneously or is treated during infancy. It can remain asymptomatic for decades until adulthood when symptoms may manifest in the event of complications or during a routine radiologic imaging. Primary obstructive megaureter has been reported to favor stone formation in the upper urinary tract. Case presentation We present the case of a 35-year-old Moroccan man who had a 10-year history of intermittent left flank pain and hematuria. A computed tomography urogram revealed a left megaureter with giant ureteral and renal calculi. Conclusions Primary obstructive megaureter should be a differential diagnosis in an adult with hydroureteronephrosis associated with urolithiasis especially when there is kidney impairment. Through this case report we will discuss the diagnosis and management of primary obstructive megaureter associated with urolithiasis in adults.

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