Challenging Cases in Urology

Challenging cases in urology: Persistent ureteral stone in a 76-year-old maleAn elderly male with hypertension, lumbar spinal stenosis, morbid obesity, and ED presents with acute right-sided worsening of his chronic back pain. A distal right ureteral stone is found on CT and his symptoms respond well to medical therapy, but he later develops severe right flank pain.
Challenging cases in urology: A case of hydronephrosis, sepsis, and painA 61-year-old female complains of acute-onset right-sided flank and abdominal pain. She describes associated nausea, but denied urinary symptoms, hematuria, fever, or chills.