case_images: PMC5107664_01
case_images: Preoperative abdominal radiograph showing large left-sided partial staghorn calculus.
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case_images: f1
case_images: An otherwise healthy 45-year-old Asian female was referred to our institution after hematuria evaluation revealed a leftsided partial staghorn calculus encompassing the central region and lower pole calices (Fig. 1).
case_images: Intraoperative fluoroscopic image showing left interpolar renal access.
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case_images: PMC5107664_01_fig-2.jpg
case_images: f2
case_images: In the operating theatre while in the prone position, interpolar renal access was achieved above the level of the 12th rib (Fig. 2).
case_images: Axial and coronal computed tomography images showing trans-splenic nephrostomy catheter.
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case_images: f3
case_images: A noncontrast computed tomography (CT) scan was performed on postoperative day (POD) 1, per our institutional protocol, showing a large left pneumothorax and nephrostomy catheter traversing the spleen (Fig. 3).
case_images: Postoperative day 1 chest radiograph reveals large left pneumothorax.
case_images: fig-4.jpg
case_images: PMC5107664_01_fig-4.jpg
case_images: f4
case_images: Subsequent radiograph confirmed the pulmonary findings, showing a large left pneumothorax (Fig. 4).