“…Symptomatic patients presented with flank pain, gross hematuria, renal dysfunction, nephrolithiasis and urosepsis. Among the thoracic ureteral herniations reported in the literature, five presented with right flank pain [2, 3, 5, 6], three were incidental findings in the workup for azotemia [7], contralateral flank pain [8], and PET scan for the workup of a lung nodule [9]. Two cases presented as part of the workup for renal [10] and ureteral [11] stones, one presented as right upper quadrant abdominal pain [12], and one presented as septic obstructive pyelonephritis [13].…”