scholarly journals A Giant Ureteral Stone without Underlying Anatomic or Metabolic Abnormalities: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Selcuk Sarikaya ◽  
Berkan Resorlu ◽  
Ekrem Ozyuvali ◽  
Omer Faruk Bozkurt ◽  
Ural Oguz ◽  
...  

A 28-year old man presented with left flank pain and dysuria. Plain abdominal film and computed tomography showed a left giant ureteral stone measuring 11.5 cm causing ureteral obstruction and other stones 2.5 cm in size in the lower pole of ipsilateral kidney and 7 mm in size in distal part of right ureter. A left ureterolithotomy was performed and then a double J stent was inserted into the ureter. The patient was discharged from the hospital 4 days postoperatively with no complications. Stone analysis was consistent with magnesium ammonium phosphate and calcium oxalate. Underlying anatomic or metabolic abnormalities were not detected. One month after surgery, right ureteral stone passed spontaneously, left renal stone moved to distal ureter, and it was removed by ureterolithotomy. Control intravenous urography and cystography demonstrated unobstructed bilateral ureter and the absence of vesicoureteral reflux.

1991 ◽  
Vol 37 (12) ◽  
pp. 978-983 ◽  
Author(s):  
Berlin Nelson ◽  
James Struble ◽  
Gregory McCarthy

A strain of Bacillus pumilus, isolated from the soilborne sclerotia of a fungus, produced crystals of the mineral struvite (magnesium ammonium phosphate hexahydrate) on Difco nutrient agar and a yeast extract agar containing magnesium sulphate and potassium phosphate. Crystals were macroscopically observed after 6–20 days of bacterial growth and reached a maximum size of 3 × 0.5 mm. Crystals were identified by X-ray powder diffractometry. These findings support the hypothesis that bacteria are involved in the biogenic formation of struvite in nature. Key words: struvite, magnesium ammonium phosphate hexahydrate, Bacillus pumilus, biomineral.


2003 ◽  
Vol 10 (1) ◽  
pp. 1-5 ◽  
Author(s):  
TAKAHIDE OGATA ◽  
KOICHIRO AKAKURA ◽  
KEN-ICHI MIZOGUCHI ◽  
KAZUO MIKAMI ◽  
KUNIYOSHI NOZUMI ◽  
...  

Author(s):  
Alexandre Danilovic ◽  
Thiago Augusto Cunha Ferreira ◽  
Samirah Abreu Gomes ◽  
Isabela Akemi Wei ◽  
Fabio Carvalho Vicentini ◽  
...  

Abstract Background and objective: Magnesium ammonium phosphate stones (MAP), also known as struvite stones, are associated with urinary infection and impairment of renal unit. The aim of this study is to evaluate the urinary metabolic risk factors for recurrence of renal calculi in patients submitted to nephrectomy due to MAP stones. Methods: We retrospectively reviewed the charts of patients > 18 years old submitted to total nephrectomy due to pure MAP stones and pure calcium oxalate (CaOx) stones from July 2006 to July 2016. Urinary metabolic parameters were assessed through 24-hour urine exams ≥ 3 months after nephrectomy. Urinary metabolic parameters and new event related to lithiasis were compared. Results: Twenty-eight and 39 patients were included in MAP and CaOx group, respectively. Abnormalities in 24-hour urine samples were similar between groups. Hypercalciuria occurred in 7.1 and 10.3% of patients in MAP and CaOx group, respectively (p = 0.66), whereas hypocitraturia was present in 65.2 and 59.0% of patients with MAP and CaOx group, respectively (p = 0.41). No significant difference in new events was found between MAP and CaOx groups (17.9 vs. 23.1%, respectively; p = 0.60). Conclusion: A 24-hour urine evaluation should be offered to patients submitted to nephrectomy due to pure MAP stones in order to detect metabolic risk, improve treatment, and prevent stone recurrence.


2005 ◽  
Vol 16 (4) ◽  
pp. 309-317
Author(s):  
Mitsuhiro Arakane ◽  
Tsuyoshi Imai ◽  
Sadaaki Murakami ◽  
Masami Takeuchi ◽  
Masao Ukita ◽  
...  

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