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With the ever-increasing use of ultrasonography and X rays, renal calculi are being detected while still small thus large renal calculi are becoming less common. Percutaneous nephrolithotomy (PCNL) is a gold standard for the treatment of renal calculi >2 cm in size and being widely used worldwide. Here, we present a case of an extra-large kidney stone (10 cm × 7.5 cm and 2.7 cm × 2.3 cm) in a 45-year-old male patient which was removed through a single puncture PCNL.
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