右侧输尿管盆段结石临床上并非少见,但该段结石与盆位阑尾结石并存则并不多。笔者近期在作右侧输尿管盆段取石术中遇到一例,并为之所误,教训深刻。为引起同道的注意,现报告如下。病例:男患,23岁。右腰部反复胀痛四月,腹平片发现右髂骶关节中段内方2cm处有一0.6×0.8cm结石影,轴位与输尿管一致;静脉肾盂造影发现右肾盂轻度扩张,右髂骶关节下方1 cm处有0.7×0.9cm致密影,其轴位与输尿管一致。验尿:RBC+,WBC少许;血象正常。临床诊断:右输尿管盆段 The right ureteral pelvic stones are not uncommon clinics, but the section of stones and pelvic appendiceal coexistence is not much. The author recently made in the right pelvis lithotomy encountered an example, and for the mistakes, lessons learned. In order to arouse the attention of the common people, the report is as follows. Case: Male suffering, 23 years old. Repeated pain in the right lower quadrant in April, abdominal plain film found in the middle of the right iliac sacral joint 2cm at a 0.6 × 0.8cm stone shadow, the same axial and ureter; intravenous pyelography found mild right renal pelvis dilatation, right iliac sacral joint 1 cm at 0.7 × 0.9cm dense shadow, the same axis and ureter. Urine test: RBC +, WBC a little; normal blood. Clinical diagnosis: right ureteral pelvic segments