case_images: PMC5937608_01
case_images: Contrast enhanced CT scan of renal tract, in coronal plane showing appearance of matrix stone throughout the right kidney.
case_images: CRIU2018-5892438.001.jpg
case_images: PMC5937608_01_CRIU2018-5892438.001.jpg
case_images: fig1
case_images: There was no opacification of the right ureter and although there was function in the right kidney there was extreme cortical thinning over the calyces (Figure 1).
case_images: Retrograde pyelogram of right kidney with filling defects throughout. The arrow points to the site of the surgery which is the right kidney.
case_images: CRIU2018-5892438.002.jpg
case_images: PMC5937608_01_CRIU2018-5892438.002.jpg
case_images: fig2
case_images: Flexible ureterorenoscopy confirmed large volume of stone throughout the entire collecting system (see Supplementary Video (available here) and Figure 2).
case_images: Macroscopic appearance of stone following PCNL. One small square equals 1 mm x 1 mm.
case_images: CRIU2018-5892438.003.jpg
case_images: PMC5937608_01_CRIU2018-5892438.003.jpg
case_images: fig3
case_images: The widespread extent of stone made ureteroscopic laser lithotripsy unsuitable and so the patient was managed with percutaneous nephrolithotomy (PCNL) (Figure 3).