Zara M., 17

Zara, is a 17-year-old teenager from a low-income household where his parents are subsistence farmers earning less than 25,000 naira monthly. The family struggles with basic needs including healthcare access. She is calm, hardworking, and assists with farming activities. She enjoys socializing with friends and engaging in manual work. presented with a 3 months history of intermittent right-sided flank pain. The pain was colicky in nature, intermittent, and radiated to the lower abdomen and groin. She also complained of painful urination (dysuria), occasional blood-stained urine (hematuria), and increased urinary frequency. There was no associated fever, vomiting, or previous history of urinary tract disease or kidney stones. She had been in her usual state of good health prior to the onset of these symptoms and had no known drug allergies or previous surgical history. She was evaluated to have Right kidney stone (right nephrolithiasis). Surgical intervention: Planned for surgery as the best option to relieve her symptoms and treat the underlying cause upon approval by Helpster charity foundation.

The patient has a large kidney stone causing significant symptoms and urinary obstruction, requiring prompt surgical intervention. If left untreated, it may lead to recurrent infections, worsening obstruction, hydronephrosis, and progressive impairment of kidney function. With timely and appropriate treatment, including surgical removal of the stone, the prognosis for nephrolithiasis (kidney stones) is excellent because most stones pass naturally with hydration and pain management, though long-term recurrence rates are high at roughly 50% within 10 years without dietary or medical prevention.