Teflon Injections (STING) Mimicking Distal Ureteric Stones

Abstract

This case report highlights the potential diagnostic pitfalls associated with subureteral transurethral injection (STING) of non-biodegradable materials like Teflon, which has been utilised for endoscopic correction of vesicoureteral reflux (VUR). A 27-year-old female with a history of VUR presented with left-sided loin pain, vomiting, and dysuria, which were initially thought to be due to distal ureteric stones. However, non-contrast computed tomography (CT) revealed the presence of calcific densities in the region of the distal ureter and vesicoureteric junction (VUJ) bilaterally, likely as a sequelae of previous Teflon injection treatment. A conservative management approach was undertaken, and follow-up evaluations, including MAG3 renograms, showed normal drainage and stable split renal function. This case emphasises the importance of a comprehensive medical history and vigilance in avoiding unnecessary imaging or surgical interventionsfor patients with a previous history of STING.