Figure 7.

A 27-year-old male presented with pain in the right iliac fossa of 1-day duration with tenderness and guarding. He did not have fever or leukocytosis. There was no loin tenderness. He was admitted as a case of acute appendicitis and planned for surgery. Point-of-care ultrasound (a) has shown a dilated pelvis of the right kidney (arrows). Computed tomography abdomen without contrast (b) confirmed the presence of hydronephrosis on the right side (arrow head) with traceable ureter due to a stone in the lower ureter close to the urinary bladder with a diameter of 3.4 mm (yellow arrow). The stone was removed using endoscopic ureteroscopy and the patient was discharged in a good condition. L = Liver, K = Kidney (Point-of-care ultrasound study was performed by Professor Fikri Abu-Zidan)