A huge pelvic calculus causing acute renal failure
Division of Urology, Department of Surgery, Taipei City Hospital, Taipei 111, Taiwan
School of Medicine, National Yang Ming University, Taipei, Taiwan 11146
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Fig. 1
A huge pelvic calculus with hydronephrosis.
Fig. 2
Triangular bladder calculus.
We present a 69-year-old man with repeated urinary tract infection and lower abdominal pain. Kidney-ureter-bladder (KUB) scout film showed a huge, 320-g triangular pelvic calculus that was surgically removed with excellent results. Bladder stone is a common disease, but it is rare for such a calculus to be so large as to cause bilateral hydronephrosis. Surgical intervention by cystolithotomy or endoscopic cystolithotripsy can achieve satisfactory results. Bladder outlet obstruction should be treated simultaneously.
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© 2008 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
