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Stones anyone?

Posted by: Philip Alex | Posted on: August 28th, 2013 | 2 Comments

A fifty year old patient had come to us with pain in the right flank. Investigations revealed a large staghorn calculus on the right side. A retrograde pyelogram showed some obstruction at the pelvi ureteric junction. He underwent a dismembered pyeloplasty here on the 28th of August. He is doing well.

The size and number of the stones is pretty impressive.

Comments (2)

  1. Abraham Kurien -
    August 29, 2013

    In my opinion a pyeloplasty was not indicated. The stone was a stag horn stone which is not caused due to obstruction. Rgp is not accurate in such a scenario.

    • Philip Alex -
      August 30, 2013

      Thanks Abraham, appreciate your input. would like to consult you in future for urology.. in our settings here, you can see how we have to work with what we have, and i would appreciate input into tricky situations, which often confront us.

      This patient did have some narrowing at the puj and large redundant extrarenal pelvis. No polar vessel. Your thoughts however are appreciated and taken.