52 ANNALS VOL 21, ISSUE 1, JAN. – MAR. 2015 GIANT URETERAL STONE Jan Muhammad Memon, 1 Imamuddin Baloch, 2 M. Rafique Memon 3 M. Hassan Khaskheli, 4 M. Amin Athar 5 Abstract The concretions which exceed 5 cm in size are termed giant ureteric calculi. We are reporting a young male who presented with left flank pain radiating to groin associated with frequency, urgency and dysuria. Inves- tigations revealed left giant ureteric stone of 8 × 3 cm size and 71 grams in weight with gross left hydroneph- rosis and poorly functioning left unit. Left ureteroli- thotomy was performed. An IVU done 3 Weeks after intervention showed improved functions in left renal unit. Keywords: Giant ureteric stone, Giant hydroneph- rosis, Uretrolithtomy. Memon J.M. 1 Professor and Head of Surgery Department Ghulam Muhammad Mahar Medical College, Sukkur Baloch I.D. 2 Assistant Professor of Surgery Ghulam Muhammad Mahar Medical College, Sukkur Memon M.R. 3 Professor of Surgery Ghulam Muhammad Mahar Medical College, Sukkur Khaskheli M.H. 4 Professor and Chairman Biochemistry Department Shah Abdul Latif University Khairpur Athar M.A. 5 Professor and Chairman Institute of Biochemistry University of the Punjab Introduction The life time risk of developing ureteric calculus is about 5%and they are usually small. 1,10 The concre- tions which exceed 5 cm in size are termed giant ure- teric calculi 2 and are very rare. The ureteral stones are very small and about 50% of them are less than 5 mm in diameter. 3 Urolithiasis may uncover the primary obstructive megaureter. 11 We are reporting a 25 year young male who presented with a left giant ureteric stone for its rarity and unusual presentation. Case Report A 25 years adult male admitted in the department of surgery unit – I, Peoples Medical College Hospital Nawabshah Sind Pakistan with the presenting com- plaints of colicky pain in the left loin radiating to the groin, dysuria, frequency and urgency. He was labor by occupation, smoker, illiterate and belonging to no affluent group. No history of lithogenic foods, stone provoking drugs and spontaneous stone passage in urine. The past history revealed the recurrent attacks of stone colic since 9 years and radiological stone detect- ion since 7 years. The general examination revealed low grade pyrexia and healthy look. The abdomen was un-remarkable. His Hb % was 14 gram %, blood urea was 23 mg %, blood sugar was 110mg% and urine had traces of albumin, few pus cells and sterile on culture. The plain radiograph and excretory urogram showed giant uretric stone in the lower 1/3 of left ureter (Fig. 1), giant left hydronephrosis and hydroureter. The ultrasound abdomen revealed server left hydroneph- Case Report