Austin J Urol. 2021; 7(2): 1071.
Mohammed M*, Dieudonné ZOJ*, Jaafar M, Youness R, Mustapha A, Soufiane M, Fadl TM, Eddine EJ, Jamal EM and Hassan FM
Urology Division, Teaching Hospital Hassan 2, Fez, Morocco
*Corresponding author: Mzyiene Mohammed, Urology Division, CHU Hassan 2, Fez, Morocco
Ziba Ouima Justin Dieudonné, Urology Division, CHU Hassan 2, Fez, Morocco
Received: July 25, 2021; Accepted: August 17, 2021; Published: August 24, 2021
Urolithiasis; Pyelic stone; Staghorn calculi; Lumbar pain
The management of giant stones of the upper urinary tract remains a challenge for the urologist because of the potential risk of treatment-related complications . We report as a clinical picture the case of a 42-year-old patient received for chronic right lumbar pain in whom the CT scan performed revealed the presence of a giant pyelic stone (Figure 1a and 1b) whose dimensions on the sagittal plane are 43.1mmx41.5mm. The patient underwent an open pyelolithotomy in our department, which allowed the extraction of a giant pyelic calculus of 12cm (Figure 1c). The postoperative course was simple.
Figure 1: Giant pyelic stone, A) Coronal CT scan; B) Sagittal CT scan; C) Extracted stone.
The treatment of staghorn calculi is difficult. They are stones that vary in size, position and chemical composition within the kidney . These staghorn calculi can affect the anatomy of the collecting system as well as renal function, making their treatment a challenge for urologists.