Urolithiasis in the Bladder and Kidney of a 75-year Old Man Patient History A 75-year old man presented with macroscopic haematuria Case Description The patient was referred to have an ultrasound examination of his kidneys and bladder as part of the (NICE guideline) diagnostic workup for haematuria in individuals above 45-years old. The bladder contained a 13 mm intraluminal mobile calculus (Urolithiasis). The right kidney contained an 8 mm non-obstructing calculus within its lower pole. Diagnosis/ Discussion/ Treatment/ Follow Up The patient had a follow up CT scan which confirmed the findings. The bladder calculus was removed transurethral. Sonograms Transverse section of the well-filled urinary bladder containing a calculus A dual-screen image of the urinary bladder with the patient initially in supine position, then asked to roll on to the left lateral decubitus position. This manoeuvre shows evidence of calculus movement which confirms that the calculus is within the bladder lumen A longitudinal image of the right kidney showing a 6 mm calculus at its lower pole A transverse image of the right renal lower pole showing the calculus A transverse image of the right renal lower pole with colour Doppler imaging, showing twinkling artefact Published on: September 2, 2024
