{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T16:45:39Z","timestamp":1726505139384},"reference-count":5,"publisher":"California Digital Library (CDL)","issue":"3","license":[{"start":{"date-parts":[[2021,7,27]],"date-time":"2021-07-27T00:00:00Z","timestamp":1627344000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Case Presentation: A 25-year-old woman presented to the emergency department with two weeks of crampy right-flank pain, and urinary urgency and frequency. She was found to have a staghorn calculus filling her entire right renal pelvis on computed tomography imaging. \nDiscussion: In contrast to ureteral calculi, staghorn calculi are more commonly observed in female patients and typically present with an indolent clinical course. A low threshold for imaging should be maintained, as prompt referral to urology for stone removal or treatment is necessary. Staghorn calculi have a high likelihood of leading to renal failure or urosepsis without treatment.<\/jats:p>","DOI":"10.5811\/cpcem.2021.4.50360","type":"journal-article","created":{"date-parts":[[2021,8,14]],"date-time":"2021-08-14T06:08:33Z","timestamp":1628921313000},"page":"360-361","source":"Crossref","is-referenced-by-count":1,"title":["Staghorn Calculus: A Stone out of Proportion to Pain"],"prefix":"10.5811","volume":"5","author":[{"given":"John","family":"Malone","sequence":"first","affiliation":[{"name":"Madigan Army Medical Center, Department of Internal Medicine, Tacoma, Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riley","family":"Gebner","sequence":"additional","affiliation":[{"name":"Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Weyand","sequence":"additional","affiliation":[{"name":"Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2021,7,27]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Singh P, Enders FT, Vaughan LE, et al. Stone composition among first-time symptomatic kidney stone formers in the community. Mayo Clin Proc 2015;90(10):1356-65.","DOI":"10.1016\/j.mayocp.2015.07.016"},{"key":"ref1","unstructured":"Meng M, Chi T, Stoller ML. Struvite and staghorn calculi. 2021. Available at: https:\/\/emedicine.medscape.com\/article\/439127-overview#a10. Accessed May 22, 2020."},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Diri A and Diri B. Management of staghorn renal stones. Ren Fail 2018;40(1):357-62.","DOI":"10.1080\/0886022x.2018.1459306"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Preminger GM, Assimos DG, Lingeman JE, et al. Chapter 1: AUA Guideline on Management of Staghorn Calculi: Diagnosis and Treatment Recommendations. J Urol 2005;173(6):1991-2000.","DOI":"10.1097\/01.ju.0000161171.67806.2a"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Akman T, Binbay M, Kezer C, et al. Factors affecting kidney function and stone recurrence rate after percutaneous nephrolithotomy for staghorn calculi: outcomes of a long-term followup. J Urol 2012;187(5),1656\u201361.","DOI":"10.1016\/j.juro.2011.12.061"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2021,8,14]],"date-time":"2021-08-14T06:08:37Z","timestamp":1628921317000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/9pr6f4rp"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,27]]},"references-count":5,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,8,6]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2021.4.50360","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"},{"type":"print","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2021,7,27]]}}}