A silent giant staghorn renal calculus managed successfully with open pyelolithotomy: a case report

Staghorn calculi (SC) are associated with high morbidity and mortality; therefore, meticulous planning is required to minimize complications. In this case report, we will discuss the management of a giant right-sided SC (~ 8 cm in diameter), which was incidentally found in a 40-year-old male, who presented with left-sided renal colic symptoms with no associated renal impairment. This case was further complicated by multiple smaller calculi surrounding the giant SC. Hence, open surgery was preferred to minimally invasive techniques. The patient underwent an uncomplicated right-sided open pyelolithotomy for his staghorn calculus and was calculi free at 1-month follow-up. His renal function returned to normal levels, highlighting effective management of the stones.