Unprecedented Challenge: Eight Impacted Ureteric Calculi in a Single Ureter

Abstract

The presence of multiple ureteric calculi within a single ureter poses a rare and challeng- ing clinical scenario. We present the case of a 39-year-old male who presented with the uncommon manifestation of eight impacted right-sided ureteric calculi. This case report discusses the diagnostic approach and management considerations for such complex uri- nary tract stone presentations. The etiology of multiple stones in a single ureter may in- volve a combination of intrinsic factors such as anatomical anomalies and metabolic dis- turbances, alongside extrinsic factors including dietary habits and environmental influ- ences. Accurate diagnosis relies on comprehensive imaging modalities such as computed tomography (CT) urography to assess stone number, size and associated complications. Management strategies encompass a tailored approach considering stone composition, patient factors, and anatomical considerations. Minimally invasive techniques such as ureteroscopy with laser lithotripsy or percutaneous nephrolithotomy (PCNL) offer effective stone clearance while preserving renal function.