An intrahepatic calculus superimposed over the right renal shadow: a case of mistaken identity.
A 36-year-old Caucasian British woman presented with a classic case of right renal colic. Initial plain abdominal radiography and intravenous urography identified an 8 x 5 mm calculus apparently lying within a right lower pole calyx. Following failed extracorporeal lithotripsy and flexible ureterorenoscopy, cross-sectional imaging revealed a misdiagnosis by superposition of an intrahepatic calculus over the right renal shadow. This case serves to support cross-sectional imaging in the diagnosis of renal calculi.
Learney
Robert M
RM
Department of Urology, Kent and Canterbury Hospital, Canterbury, United Kingdom. robertlearney@mac.com
Shrotri
Nitin
N
D000328:Adult; D002137:Calculi / Q000175:diagnosis*; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000175:diagnosis*; D007682:Kidney Pelvis; D008107:Liver Diseases / Q000175:diagnosis*