Abstract
A large ureteral stone is a rare condition that can cause significant complications if untreated. We report the case of a 21-year-old male from Farah province who experienced abdominal pain for eight months, with localized lower abdominal pain for the last two months, and frequent urination but no hematuria. Imaging revealed a 9 × 4 cm stone lodged in the lower ureter. The patient underwent ureterolithotomy, and a double J stent was placed. Postoperative outcomes were excellent. Stones larger than 10 cm are exceptionally rare, and this case emphasizes the need for prompt diagnosis despite atypical symptoms.