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Treating a Large Stone Diverticulum in a Patient with a Duplicated Collecting System

In this case study, a 58-year-old female presented with a 2.2 cm stone burden in the right upper pole calyceal diverticulum. She had no history of nephrolithiasis but was bothered by pain, gross hematuria, hypertension and diabetes. Dr. Wollin summarizes the intraoperative steps to safely gain and then maintain access and remove the stone. He also presents CT scans and intravenous pyelogram visuals of this infected complicated anatomy.

Daniel Wollin, MD, MS

Brigham and Women's Hospital, USA

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