title: Giant renal calculus in a solitary functioning kidney.
abstract: 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.
authors.affiliation: Izmir Ataturk Training Hospital, 1st Urology Department, Izmir, Turkey. girgincengiz@hotmail.com
authors.forename: Cengiz
authors.initials: C
authors.lastname: Girgin
authors.forename: Akif
authors.initials: A
authors.lastname: Sezer
authors.forename: Oğuz
authors.initials: O
authors.lastname: Sahin
authors.forename: Mehmet
authors.initials: M
authors.lastname: Oder
authors.forename: Cetin
authors.initials: C
authors.lastname: Dinçel
mesh_terms: 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