Presentation
Prior renal stone disease. Left sided loin pain. Stone status?
Patient Data
Age: 60 years
Gender: Female
From the case:
Bilateral staghorn calculi
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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 molding 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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