Presentation
Urology patient.
Patient Data
Age: 75 years
Gender: Female
From the case:
Staghorn calculus
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Right sided staghorn calculus.
Stones measuring up to 1cm in the left kidney.
Calcified pelvic pheboliths.
Case Discussion
Typical appearances of a staghorn calculus, although this one is missing its 'antlers' from an upper calyceal component!
The only real differential is retained contrast from a recent imaging study using iodinated contrasts with a PUJ obstruction.
PCNL is the usual treatment for such a large dense stone.
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