Bilateral staghorn calculi

Case contributed by Dr Ian Bickle

Presentation

Prior renal stone disease. Left sided loin pain. Stone status?

Patient Data

Age: 60 years
Gender: Female
CT

Huge bilateral staghorn calculi. On the left the stone extends beyond the PUJ into the upper ureter.

1 cm distal left ureteric stone, 4 cm proximal to the VUJ. No hydronephrosis.

The remainder of the upper abdomen is unremarkable.

Case Discussion

Phenomenally large bilateral staghorn calculi. 

A stone moulding of the collecting systems which is exquisitely illustrated with volume rendering.

The urologist is going to have a very busy and long PCNL session trying to get these mightly stones out.

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Case information

rID: 59475
Published: 10th Apr 2018
Last edited: 16th Jul 2018
System: Urogenital
Tag: ripas2
Inclusion in quiz mode: Included

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