PMC5107664_01
Preoperative abdominal radiograph showing large left-sided partial staghorn calculus.
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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).
Intraoperative fluoroscopic image showing left interpolar renal access.
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In the operating theatre while in the prone position, interpolar renal access was achieved above the level of the 12th rib (Fig. 2).
Axial and coronal computed tomography images showing trans-splenic nephrostomy catheter.
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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).
Postoperative day 1 chest radiograph reveals large left pneumothorax.
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Subsequent radiograph confirmed the pulmonary findings, showing a large left pneumothorax (Fig. 4).