Staghorn Calculus: A Stone out of Proportion to Pain

CASE PRESENTATION: A 25-year-old woman presented to the emergency department with two weeks of crampy right-flank pain, and urinary urgency and frequency. She was found to have a staghorn calculus filling her entire right renal pelvis on computed tomography imaging. DISCUSSION: In contrast to ureter...

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Detalles Bibliográficos
Autores principales: Malone, John, Gebner, Riley, Weyand, Jonathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2021
Materias:
Images in Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8373179/
https://www.ncbi.nlm.nih.gov/pubmed/34437048
http://dx.doi.org/10.5811/cpcem.2021.4.50360
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author Malone, John
Gebner, Riley
Weyand, Jonathan
author_facet Malone, John
Gebner, Riley
Weyand, Jonathan
author_sort Malone, John
collection PubMed
description CASE PRESENTATION: A 25-year-old woman presented to the emergency department with two weeks of crampy right-flank pain, and urinary urgency and frequency. She was found to have a staghorn calculus filling her entire right renal pelvis on computed tomography imaging. DISCUSSION: In contrast to ureteral calculi, staghorn calculi are more commonly observed in female patients and typically present with an indolent clinical course. A low threshold for imaging should be maintained, as prompt referral to urology for stone removal or treatment is necessary. Staghorn calculi have a high likelihood of leading to renal failure or urosepsis without treatment.
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spelling pubmed-83731792021-08-24 Staghorn Calculus: A Stone out of Proportion to Pain Malone, John Gebner, Riley Weyand, Jonathan Clin Pract Cases Emerg Med Images in Emergency Medicine CASE PRESENTATION: A 25-year-old woman presented to the emergency department with two weeks of crampy right-flank pain, and urinary urgency and frequency. She was found to have a staghorn calculus filling her entire right renal pelvis on computed tomography imaging. DISCUSSION: In contrast to ureteral calculi, staghorn calculi are more commonly observed in female patients and typically present with an indolent clinical course. A low threshold for imaging should be maintained, as prompt referral to urology for stone removal or treatment is necessary. Staghorn calculi have a high likelihood of leading to renal failure or urosepsis without treatment. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2021-07-27 /pmc/articles/PMC8373179/ /pubmed/34437048 http://dx.doi.org/10.5811/cpcem.2021.4.50360 Text en Copyright: © 2021 Malone et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/)
spellingShingle Images in Emergency Medicine
Malone, John
Gebner, Riley
Weyand, Jonathan
Staghorn Calculus: A Stone out of Proportion to Pain
title Staghorn Calculus: A Stone out of Proportion to Pain
title_full Staghorn Calculus: A Stone out of Proportion to Pain
title_fullStr Staghorn Calculus: A Stone out of Proportion to Pain
title_full_unstemmed Staghorn Calculus: A Stone out of Proportion to Pain
title_short Staghorn Calculus: A Stone out of Proportion to Pain
title_sort staghorn calculus: a stone out of proportion to pain
topic Images in Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8373179/
https://www.ncbi.nlm.nih.gov/pubmed/34437048
http://dx.doi.org/10.5811/cpcem.2021.4.50360
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