چكيده لاتين :
Introduction. A 22-year-old man presented with bilateral flank pain, pyuria, and bacteriuria. Ultrasound revealed left hydronephrosis and hydroureter. Severe decreased function of kidney found in DTPA scan. A plain abdominal radiograph and intravenous urogram showed a giant left distal ureteral stone measuring 9 cm in length, causing left ureteral obstruction and right UPJ obstruction. No metabolic abnormalities were detected.
Conclusion. Ureteral stone is one of the commonest causes of ureteral obstruction and could be asymptomatic even though with huge size, so we must take them in our mind during work-up.
