Abstract
The patient was a 50-year-old woman, who presented with a history of high-grade fever, chills, and cloudiness of the urine. The patient’s past history was significant for nephroureterolithiasis and cerebrovascular accidents that left her aphasic and hemiplegic. She was treated with antibiotics and scheduled for a further workup. Radiography showed a large staghorn and multiple smaller calculi completely filling the right intrarenal collecting system. Computed tomography revealed a poorly defined nodule in the upper pole of right kidney, measuring 2.6 cm in maximum dimension. Nuclear scans showed severely reduced right kidney function. Her left kidney function was normal. She underwent an elective right nephrectomy, given the compromised function and the extent of stones. During the procedure, dense adhesions of kidney
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