In a review of the literature, Kreutzmann1 of San Francisco lists only eight cases in which single renal calculi weighing more than 300 Gm. were removed. He found that the largest renal calculi the human body is capable of producing have been found at autopsy, at which stones have been discovered weighing from 1,500 to 2,000 Gm. The largest stone in this series was removed by Mylvaganan of England and weighed 1,440 Gm. To this series he adds his case with the successful removal of a solitary stone weighing 650 Gm. with the kidney substance included. Waterworth2 removed a renal calculus weighing 1,100 Gm. only to have the patient die five and a half months later of a fungating carcinoma at the operative site, which had been found at operation to originate in the renal pelvis.
REPORT OF CASE
J. E. F., a white man, aged 55,
Bailey MK, Eberhart CA. LARGE RENAL CALCULUS. JAMA. 1938;111(7):610–612. doi:10.1001/jama.1938.72790330001006
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