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. Author manuscript; available in PMC: 2019 Oct 1.
Published in final edited form as: Urolithiasis. 2018 Feb 1;46(5):459–470. doi: 10.1007/s00240-018-1043-0

Table 1.

Morphoconstitutional classification of urinary calculi (from [9, 10])

Morphological type Subtype Main components Main morphological characteristics (for more details, see [9, 10]
Surface Section
I Ia Whewellite Mammillary, brown Concentric, radiating organization, brown
Ib Whewellite Rough and mammillary, brown Unorganized, brown
Ic Whewellite Budding, cream to pale yellow-brown Poorly organized, cream to pale yellow-brown
Id Whewellite Smooth, beige or pale brown Concentric, compact, beige
Ie Whewellite Locally budding and mammillary, pale yellow-brown to brown Locally unorganized, locally radiating organization, pale yellow-brown to brown
II IIa Weddellite Bipyramidal crystals aggregated, with sharp angles and ridges, pale yellow Loose radial organization, pale yellow
IIb Weddellite ± whewellite Bipyramidal crystals aggregated, with blunted angles and ridges, pale yellow Unorganized, pale yellow
IIc Weddellite Rough, grey-beige Thin layers in periphery, unorganized core, grey-beige
III IIIa Uric acid Smooth, ochre to orange Concentric, radiating organization, orange
IIIb Uric acid Embossed, rough and porous, beige to orange Unorganized or poorly organized and porous, orange
IIIc Various urates Rough, locally porous, beige to greyish Unorganized with porous areas, beige to greyish
IIId Ammonium urate Embossed, rough and porous, grey-brown Alternated layers, thick and brownish, thin and greyish
IV IVa1 Carbapatite Rough or slightly embossed, cream to beige Poorly organized, whitish to cream
IVa2 Carbapatite Embossed, glazed with cracks, yellow-brown Alternated layers, thick and yellow-brown, thin and cream
IVb Carbapatite Heterogenous, both embossed and rough Alternated layers, thick and cream, thin and yellow-brown
Heterogenous color, cream to brown
IVc Struvite Amalgamate crystals with blunted angles and thick ridges, whitish Crude radial crystallization, whitish
IVd Brushite Finely rough or aggregated rods, cream to beige Concentric, radiating organization, cream to beige
V Va Cystine Rough or grainy, yellowish Poorly organized, loose radiating organization, yellowish
Vb Cystine Smooth, cream to pale yellowish Concentric in periphery, unorganized core, cream to yellow
VI VIa Proteins Smooth, cream to pale brown Unorganized, cream to pale brown
VIb Proteins Rough and flaked off, dark brown to black Crude and diffuse foliated structure, dark brown to black
VIc Proteins Homogenous, smooth, dark brown Soft concentric dark-brown shell, unorganized beige core
Main mixed types:
Ia+IIa and Ia+IIb Whewellite+weddellite
Ila+IVal and IIb+Iva1 Weddellite+Carbapatite
Ia+IIa+Iva1 Whewellite+Weddellite+Carbapatite