Urolithiasis in the Bladder and Kidney of a 75-year Old ManPatient HistoryA 75-year old man presented with macroscopic haematuriaCase DescriptionThe 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 UpThe patient had a follow up CT scan which confirmed the findings. The bladder calculus was removed transurethral.SonogramsTransverse section of the well-filled urinary bladder containing a calculusA 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 lumenA longitudinal image of the right kidney showing a 6 mm calculus at its lower poleA transverse image of the right renal lower pole showing the calculusA transverse image of the right renal lower pole with colour Doppler imaging, showing twinkling artefactPublished on: September 2, 2024
