Work

Adult primary obstructive megaureter revealed by a 2-cm ureterovesical junction stone

Year: 2026

Type: article

Abstract: Primary obstructive megaureter (POM) is an uncommon congenital anomaly rarely diagnosed in adults. We report the case of a 20-year-old man presenting with intermittent left flank pain for six months. Computed tomography revealed a markedly dilated left ureter containing a giant ureteral stone. The patient underwent open ureteral reimplantation with successful removal of the ureteral calculus. Postoperative recovery was uneventful, and renal function was preserved. This case highlights the importance of considering Primary obstructive megaureter in the differential diagnosis of adults presenting with hydronephrosis and urolithiasis, as early recognition and appropriate surgical management can prevent renal impairment. • Adult primary obstructive megaureter can present with ureteral lithiasis. • CT urography may show distal functional obstruction with diffuse ureteral dilatation. • Exclude reflux and bladder outlet obstruction with cystography/cystoscopy. • Distal ureteral reimplantation enables stone extraction and renal preservation.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2026.103377

Authors: Yassine Karmouch, Mohammed Belmejjad, Kamal Mohammed, Aissam Mouaa, Fouad Hajji

Institutions: Cadi Ayyad University, Hôpital Militaire Avicenne

Language: English

Topic: Pediatric Urology and Nephrology Studies

Subfield: Pediatrics, Perinatology and Child Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160