Giant Pyelic Stone: Clinical Image

Clinical Image

Austin J Urol. 2021; 7(2): 1071.

Giant Pyelic Stone: Clinical Image

Mohammed M*, Dieudonné ZOJ*, Jaafar M, Youness R, Mustapha A, Soufiane M, Fadl TM, Eddine EJ, Jamal EM and Hassan FM

Urology Division, Teaching Hospital Hassan 2, Fez, Morocco

*Corresponding author: Mzyiene Mohammed, Urology Division, CHU Hassan 2, Fez, Morocco

Ziba Ouima Justin Dieudonné, Urology Division, CHU Hassan 2, Fez, Morocco

Received: July 25, 2021; Accepted: August 17, 2021; Published: August 24, 2021

Keywords

Urolithiasis; Pyelic stone; Staghorn calculi; Lumbar pain

Clinical Image

The management of giant stones of the upper urinary tract remains a challenge for the urologist because of the potential risk of treatment-related complications [1]. We report as a clinical picture the case of a 42-year-old patient received for chronic right lumbar pain in whom the CT scan performed revealed the presence of a giant pyelic stone (Figure 1a and 1b) whose dimensions on the sagittal plane are 43.1mmx41.5mm. The patient underwent an open pyelolithotomy in our department, which allowed the extraction of a giant pyelic calculus of 12cm (Figure 1c). The postoperative course was simple.

Figure 1: Giant pyelic stone, A) Coronal CT scan; B) Sagittal CT scan; C) Extracted stone.

The treatment of staghorn calculi is difficult. They are stones that vary in size, position and chemical composition within the kidney [2]. These staghorn calculi can affect the anatomy of the collecting system as well as renal function, making their treatment a challenge for urologists.

References

  1. Pradère B, Doizi S, Proietti S, Brachlow J, Traxer O. Evaluation of Guidelines for Surgical Management of Urolithiasis. J Urol. 2018; 199: 1267-1271.
  2. Tzelves L, Türk C, Skolarikos A. European Association of Urology Urolithiasis Guidelines: Where Are We Going? Eur Urol Focus. 2021; 7: 34-38.

Citation: Mohammed M, Dieudonné ZOJ, Jaafar M, Youness R, Mustapha A, Soufiane M, et al. Giant Pyelic Stone: Clinical Image. Austin J Urol. 2021; 7(2): 1071.