Publication:

A huge right staghorn renal calculi: a case report of inevitable open surgery

Staghorn renal calculi in a developing country, very often associated with insidious growth, late presentation, complication & recurrence, present an economic burden to the patient & challenge to the treating surgeon. A 70 years old male patient presented to the surgery dept. of our medical college with chief complaints of intermittent pain in right side of abdomen since 4 years, with increased frequency for last 5 days & radiating to back, non-radiating to groin, had h/o intermittent low grade fever and 3-4 times hematuria. Right sided pyelolithotomy done and a huge staghorn calculi that is extending into renal calyces is removed. Post operatively patient uneventful. In the last few decades, with improvement in endourological surgery, the indications for open surgery in stone diseases have become rare, although open surgery still has a role in selected cases such as complex stone burden, renal anatomic complications.