Tuesday, May 31, 2011

transitional cell carcinoma with staghorn calculus













We operated a case of renal tumor invading the descending colon .He underwent left radical nephrectomy with En Bloc Resection of the intestinal segment.







The patient was having staghorn calculus and nonfunctioning kidney.He was asymptomatic.







He underwent periodic imaging and blood biochemistry studies.This time he presented with signs of constitutional symptoms and dull continuous pain in the left flank.







His ultrasound showed mass in the kidney.He was further evaluated with Triphasic CT scan which revealed left renal mass with obscured planes with the descending colon and staghorn calculus.







He was taken up for surgery in view of his metastatic work up was essentially normal.







In 2 months postoperative period he is doing well and planned for palliative chemo/radiotherapy.

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