A panoramic radiograph of the urinary tract and Staghorn stone kidney
Conclusion: Urolithiasis (ICD). Staghorn stone in the left kidney. Recommended ultrasound, excretory urography, CT.
Coral-stone formation is one of the most dangerous forms of urolithiasis (ICD). This is because such education creates preconditions for constant violation of the outflow of urine (Eurostat), in connection with which it accumulates and exerts considerable pressure on the renal parenchyma. As a result of this process develops renal failure, there is impaired ability of the kidneys form urine by filtering.
Staghorn stones occur in 5-10% of all patients with ICD. Risk factors of this pathology are hyperfunction of the parathyroid glands, chronic diseases of the gastrointestinal tract and liver, and bone fractures with long-term immobilization, pregnancy, malformations of the urinary system in violation of the outflow or reflux, inborn errors of metabolism (oxaluria, cystinuria, fructosuria, etc.), tubular proteinuria.
The disease in the beginning with a few symptoms for a long time the patient did not bother. As stone formation and increasing the size there are symptoms of pyelonephritis. Pyelonephritis becomes recurrent in nature. As the progression of the disease to the forefront renal failure.
Methods of treatment of this form of ICD is varied, until the present time, doctors have no common tactics. To relief the condition of the patient are performed by open surgery (nephrectomy, open nephrolithotomy), extracorporeal shock wave lithotripsy, percutaneous nephrolitholapaxy (crushing with the help of an endoscope).