Coroner calls for new staghorn kidney stone guidance

Surgeon should have been suspicious it was an infected stone, finds magistrate

A coroner has called for new guidance around the management of large staghorn kidney stones after a woman died of sepsis following a high-risk surgical procedure on an infected stone.

Coroners court sign

Pauline Kessell, 53, died in 2015 of multiple organ failure resulting from septic shock two days after undergoing endoscopic pyeloscopy with laser lithotripsy for a 5cm staghorn calculus at Westmead Private Hospital in Sydney.

Magistrate Paula Russell found that the sepsis was caused by endotoxins and Proteus mirabilis bacteria released from the