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An intrahepatic calculus superimposed over the right renal shadow: a case of mistaken identity. | LitMetric

A 36-year-old Caucasian British woman presented with a classic case of right renal colic. Initial plain abdominal radiography and intravenous urography identified an 8 x 5 mm calculus apparently lying within a right lower pole calyx. Following failed extracorporeal lithotripsy and flexible ureterorenoscopy, cross-sectional imaging revealed a misdiagnosis by superposition of an intrahepatic calculus over the right renal shadow. This case serves to support cross-sectional imaging in the diagnosis of renal calculi.

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http://dx.doi.org/10.1016/j.urology.2009.09.044DOI Listing

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