# Ureterocoele Complicated By Cystolithiasis in a 23-Year-Old: A Case Report

## TL;DR

A 23-year-old man with a rare case of ureterocoele complicated by a kidney stone was successfully treated with surgery.

## Contribution

This case report highlights the rare complication of cystolithiasis in a ureterocoele and its successful surgical management.

## Key findings

- Ultrasonography and intravenous urography confirmed the diagnosis of ureterocoele with a large calculus.
- Surgical intervention led to significant post-operative improvement and no complications during follow-up.

## Abstract

The cystic dilatation of the lower part of the ureter is known as ureterocoele which has been associated with other anomalies such as stenotic ureteric orifice, duplicated urinary system, and hydronephrosis along with or without other clinical sequelae. Notably, the accurate and prompt diagnosis is challenging due to non-specific symptoms that could mimic other urogenital systems diseases. Imaging evaluation is the gold standard of accurate diagnosis and comprehensive clinical examination. The possible complications associated with ureterocoele include urinary tract obstruction, reflux, continence, and renal function derangements. Thus, we present a 23-year-old male patient, who presented to the general outpatient clinic of the Federal Teaching Hospital, Abakaliki, in September 2018 with a complaint of right-sidedabdominal pain and hot sensation, intermittent haematuria, and pain during micturition of one-year duration. He was evaluated with ultrasonography that showed moderate right hydronephrosis with a large curvilinear calculus adjacent to the dilated ureteric end, and intravenous urography revealed a dilated right distal ureteric end with a peripheral halo, giving the cobra head the appearance of ureterocoele. The patient underwent open cystolithotomy with marsupialization of the distal end of the right ureter. He showed remarkable post-operative improvement and was discharged after two weeks. Two months of post-operative follow-up was uneventful.