Staghorn calculus

Case contributed by Dr Jeremy Jones

Presentation

Back pain, but no neurology.

Patient Data

Age: 45
Gender: Female
X-ray

Initial plain films

Right-sided staghorn calculus and a second left-sided VUJ stone.


CT

Renal stones confirmed (right staghorn and left VUJ). Marked bilateral hydronephrosis, left greater than right.

Case Discussion

The importance of looking at the periphery of the film is made here. On the plain film, the staghorn calculus is clearly demonstrated (although very little is seen on the lateral film). 

Marked hydroureter and hydronephrosis is seen, greater on the left. Urgent urology review was arranged.

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Case information

rID: 14827
Case created: 30th Aug 2011
Last edited: 16th Oct 2015
Inclusion in quiz mode: Included

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