Medical Treatment of a Staghorn Calculus: The Ultimate Noninvasive Therapy

A 77-year-old female presented with bilateral staghorn calculi. She underwent an uneventful left percutaneous nephrolithotomy (PCNL); the stone analysis revealed a 90% struvite and 10% calcium phosphate stone. Treatment of the right stone was postponed by the patient. During the next 9 months, her f...

Descripción completa

Detalles Bibliográficos
Autores principales: Chamberlin, Joshua D., Clayman, Ralph V.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc. 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4996561/
https://www.ncbi.nlm.nih.gov/pubmed/27579378
http://dx.doi.org/10.1089/cren.2015.29003.jdc
_version_ 1782449626535690240
author Chamberlin, Joshua D.
Clayman, Ralph V.
author_facet Chamberlin, Joshua D.
Clayman, Ralph V.
author_sort Chamberlin, Joshua D.
collection PubMed
description A 77-year-old female presented with bilateral staghorn calculi. She underwent an uneventful left percutaneous nephrolithotomy (PCNL); the stone analysis revealed a 90% struvite and 10% calcium phosphate stone. Treatment of the right stone was postponed by the patient. During the next 9 months, her family physician gave her multiple courses of culture-directed antibiotics due to breakthrough urinary-tract infections, despite her also being on a prophylactic antibiotic. After 9 months, she agreed to undergo her right PCNL. Preoperatively, a non-contrast CT scan was obtained; it revealed complete resolution of the right staghorn calculi.
format Online
Article
Text
id pubmed-4996561
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Mary Ann Liebert, Inc.
record_format MEDLINE/PubMed
spelling pubmed-49965612016-08-30 Medical Treatment of a Staghorn Calculus: The Ultimate Noninvasive Therapy Chamberlin, Joshua D. Clayman, Ralph V. J Endourol Case Rep Case Report A 77-year-old female presented with bilateral staghorn calculi. She underwent an uneventful left percutaneous nephrolithotomy (PCNL); the stone analysis revealed a 90% struvite and 10% calcium phosphate stone. Treatment of the right stone was postponed by the patient. During the next 9 months, her family physician gave her multiple courses of culture-directed antibiotics due to breakthrough urinary-tract infections, despite her also being on a prophylactic antibiotic. After 9 months, she agreed to undergo her right PCNL. Preoperatively, a non-contrast CT scan was obtained; it revealed complete resolution of the right staghorn calculi. Mary Ann Liebert, Inc. 2015-10-01 /pmc/articles/PMC4996561/ /pubmed/27579378 http://dx.doi.org/10.1089/cren.2015.29003.jdc Text en © Chamberlin and Clayman 2015; Published by Mary Ann Liebert, Inc. This Open Access article is distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
spellingShingle Case Report
Chamberlin, Joshua D.
Clayman, Ralph V.
Medical Treatment of a Staghorn Calculus: The Ultimate Noninvasive Therapy
title Medical Treatment of a Staghorn Calculus: The Ultimate Noninvasive Therapy
title_full Medical Treatment of a Staghorn Calculus: The Ultimate Noninvasive Therapy
title_fullStr Medical Treatment of a Staghorn Calculus: The Ultimate Noninvasive Therapy
title_full_unstemmed Medical Treatment of a Staghorn Calculus: The Ultimate Noninvasive Therapy
title_short Medical Treatment of a Staghorn Calculus: The Ultimate Noninvasive Therapy
title_sort medical treatment of a staghorn calculus: the ultimate noninvasive therapy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4996561/
https://www.ncbi.nlm.nih.gov/pubmed/27579378
http://dx.doi.org/10.1089/cren.2015.29003.jdc
work_keys_str_mv AT chamberlinjoshuad medicaltreatmentofastaghorncalculustheultimatenoninvasivetherapy
AT claymanralphv medicaltreatmentofastaghorncalculustheultimatenoninvasivetherapy

Ejemplares similares