Staghorn calculus of the kidney

Case contributed by Shervin Sharifkashani
Diagnosis certain

Presentation

Vague left-sided flank pain and intermittent hematuria.

Patient Data

Age: 45 years
Gender: Male

Staghorn calculus (coronal width 75 x 45 mm) filling the left renal pelvis and calyces.

There is also a small calculus up to 1.5 mm in the right kidney lower pole and a small cyst in the right kidney middle pole as well.

Case Discussion

This case illustrates non-contrast MDCT features of the renal staghorn calculus or coral calculus. These calculi usually occur in a setting of recurrent urinary tract infections. The gold standard treatment for these types of stones is surgery 1.

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