Staghorn calculus

Case contributed by Pir Abdul Ahad Aziz Qureshi
Diagnosis certain

Presentation

Left lumbar pain

Patient Data

Age: 45 years
Gender: Female
x-ray

A large calculus completely occupying left renal pelvis is seen it is also extending into the upper pole calyx. This represents a staghorn calculus.

Two small secondary calculi are also seen in middle calyces of the left kidney.

Case Discussion

Staghorn calculi are composed of MAP, magnesium ammonium phosphate (struvite) and are usually mixed with calcium phosphate.

 

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