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September 10, 2026Urology Case ReportsOpen Access

Spontaneous retrograde migration of a lower ureteric calculus in a child with primary non-refluxing obstructive megaureter: a rare case report

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Authors

PJPreet JainPSPiyush SinghaniaDDDHAVAL DESAI

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Overview

Case report demonstrates spontaneous retrograde migration of a ureteral stone in a child with obstructive megaureter, highlighting unusual calculus dynamics in dilated urinary tracts.

Key Points

  • To report a unique pediatric presentation of spontaneous retrograde migration of a lower ureteric stone into the renal pelvis in the setting of primary non-refluxing obstructive megaureter.
  • Clinical assessment and serial radiological imaging of a 9-year-old boy presenting with left flank pain and haematuria.
  • Surgical intervention to evaluate distal ureteric pathology and verify stone location.
  • Baseline imaging identified a 7-mm distal ureteric calculus causing obstructive megaureter.
  • Follow-up imaging revealed spontaneous retrograde migration of the 7-mm calculus into the renal pelvis with no stone passage in urine.
  • Surgical findings confirmed a narrowed distal ureter segment consistent with primary non-refluxing obstructive megaureter.

Cite This Study

Jain et al. (2026) studied this question.

synapsesocial.com/papers/6aa27a7f58559d80afc730d0https://doi.org/10.1016/j.eucr.2026.103595
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