10th June 2021

A 62-year-old male presents to accident and emergency with severe abdominal pain

A 62-year-old male presents to accident and emergency with severe abdominal pain. He is unable to sit still and is complaining of pain that has been ‘coming and going’ for the last 2 hours but is extremely severe. He reports feeling sick but has not vomited. He is started on analgesia and bloods are sent off which reveal deranged urea and electrolytes and raised inflammatory markers. A computed tomography of kidneys, ureters and bladder (CT KUB) is requested, which reveals staghorn calculi.

For the patient above, please select the most appropriate management option. Select ONE option from the list above.