Giant renal calculus in a solitary functioning kidney.
We report a case of giant renal calculus 230 x 140 mm in size and weighing 1,350 g in a solitary functioning kidney treated by nephrolithotomy. A 47-year-old man presented with right lumbar pain, abdominal mass and microscopic hematuria. Physical examination revealed a stony hard mass on the right side of the abdomen, extending from the subcostal region to the iliac crest. A giant renal calculus in his right kidney and atrophic nonfunctioning left kidney was diagnosed by ultrasonography, IVP and CT scan. Right nephrolithotomy was performed. Analysis revealed a calcium phosphate stone. This case is the largest and the heaviest stone reported in the literature in a solitary functioning kidney.
Girgin
Cengiz
C
Izmir Ataturk Training Hospital, 1st Urology Department, Izmir, Turkey. girgincengiz@hotmail.com
Sezer
Akif
A
Sahin
Oğuz
O
Oder
Mehmet
M
Dinçel
Cetin
C
D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D007669:Kidney Calculi / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous; D014057:Tomography, X-Ray Computed; D014563:Urodynamics