Staghorn calculus

Case contributed by Dr Jeremy Jones


Back pain, but no neurology.

Patient Data

Age: 45
Gender: Female

Initial plain films

Normal lumbar spine.

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



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 clear in this example. On the plain film, the staghorn calculus is clearly demonstrated (although very little is seen on the lateral film). 

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

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Case information

rID: 14827
Published: 30th Aug 2011
Last edited: 17th Sep 2018
Inclusion in quiz mode: Included

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