Contrast Agent Mimicking Calculi in Entrapped Calyx. A Report of a Case

Urolithiasis is a common condition, and it represents a large number of hospital visits. Under the term infundibulopelvic dysgenesis, many conditions amongst a spectrum of congenital disorders of the pelvicalyceal system are described. Retrograde intrarenal surgery (RIRS) is an effective and safe treatment modality in the management of urinary system stone disease. Fluoroscopic imaging is a cornerstone in endourology. Herein, we present a case where we diagnosed an obstructed calyx during RIRS for renal calculi and operated on it. In this extraordinary case, contrast agent was trapped in the calyx mimicking a renal stone and that was the reason that we discovered the infundibular stenosis. The patient, 24 h after the operation, left the hospital without any complications reported.

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Outcomes of Retrograde Intra-Renal Surgery

Nepalese Medical Journal ◽

10.3126/nmj.v2i2.26478 ◽

2019 ◽

Vol 2 (2) ◽

pp. 220-223 ◽

Cited By ~ 1

Author(s):

Samir Shrestha ◽

Pukar Maskey

Keyword(s):

Postoperative Pain ◽

Hospital Stay ◽

Renal Stone ◽

Operative Time ◽

Renal Calculi ◽

Renal Surgery ◽

Surgical Morbidity ◽

Retrograde Intrarenal Surgery ◽

Stone Clearance ◽

The Mean

Introduction: Miniaturization of endoscopic instruments has gained wide popularity in the treatment of renal calculi. Retrograde intra-renal surgery and holmium laser in combination has already proven its superiority when compared to other modalities in the treatment of renal calculi. This study was conducted to assess the outcome of retrograde intra-renal surgery in renal stone disease.Materials and Methods: This retrospective study analyzed the outcome of retrograde intra-renal surgery in renal stone less than 2 cm size in the adults above 18 years of age from September 2018 to August 2019 at Patan Hospital, Nepal. The outcome was assessed descriptively on postoperative pain and fever, stone localization, stone size, stone clearance, urosepsis, operative time, hospital stay, mortality, need of the second procedure.Results: A total of 62 patients underwent retrograde intrarenal surgery, out of which 48 cases were included. The mean age of the study population was 32.4± 14 years (19-68 years). Similarly, the mean operative time was 68± 12 (48-124 minutes) and mean hospital-stay was 3.2± 1.1 days. Postoperative pain and fever were observed in 14 (29.16%) & 4(8.33%) patients respectively. Hematuria occurred in 6(12.50%) and urosepsis in 2(4.16%) of the patients. Complete stone clearance was achieved in 34(70.83%) and residual stones were present in 8(16.66%) and clinically insignificant radiological fragments were present in 6(12.50%) patients.Conclusions: Retrograde intrarenal surgery is a technically safe and effective procedure for the treatment of renal calculi, with minimal post-surgical morbidity.

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The Efficacy of Retrograde Intrarenal Surgery (RIRS) in the Management of Renal Stone Disease

Korean Journal of Urology ◽

10.4111/kju.2009.50.8.786 ◽

2009 ◽

Vol 50 (8) ◽

pp. 786 ◽

Cited By ~ 1

Author(s):

Jongwon Kim ◽

Jinsung Park ◽

Hyungkeun Park

Keyword(s):

Renal Stone ◽

Stone Disease ◽

Retrograde Intrarenal Surgery ◽

Renal Stone Disease

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HASAT E KULLIYA WA MASANA (KIDNEY AND BLADDER STONE): A REVIEW

Indian Journal of Unani Medicine ◽

10.53390/ijum.v14.i2.1 ◽

2021 ◽

Vol 14 (2) ◽

Author(s):

Zaid Iqbal ◽

Abuzar Lari ◽

Musarrat Ali

Keyword(s):

Kidney Stones ◽

Surgical Procedure ◽

Renal Stone ◽

Renal Calculi ◽

Urinary Stone ◽

Stone Disease ◽

Bladder Stone ◽

Urinary Stone Disease ◽

Unani Medicine ◽

Ancient Time

In Unani system of medicine renal stone named as Hasat e Kulliya (kidney stones), Hasat e halib (uretric stones), Hasat e masana (bladder stone). Kidney stones or Renal Calculi (from Latin renes, "kidney" and calculi, "pebbles") are solid structures composed of urinary precipitates and crystals. These stones can range in size from less than a millimeters to few centimeters. From ancient time Greeks have many literatures in which they explained urinary stone disease in detail. The association of stones and putrefaction has been known since Hippocrates (460–377 BC). He was first who described diseases of kidney and symptoms of bladder stones. Many Unani physicians explained surgical procedure and instruments used for removal of stone. The aim of this review to explain renal stone in vision of unani medicine.

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Use of non-contrast computed tomography determined urinary stone fragility in predicting the outcome of extracorporeal shockwave lithotripsy treatment: a single-center study

Journal of Fatima Jinnah Medical University ◽

10.37018/xivf1000 ◽

2020 ◽

Vol 14 (2) ◽

pp. 59-63

Author(s):

Athar Hameed ◽

Khazir Hayyat Gondal

Keyword(s):

Shock Waves ◽

Renal Stone ◽

Plain Film ◽

Renal Stones ◽

Renal Calculus ◽

Urinary Stone ◽

Stone Disease ◽

Urinary Stones ◽

Fisher Exact Test

Background: Renal stones represent a common urological pathology where standard treatment advised is ESWL in current practice. However, NCCT based determination of stone fragility may help to predict the outcome of ESWL treatment, hence optimizing its clinical use. Therefore, this study evaluated the role of NCCT determined urinary stone fragility in predicting the outcome of ESWL treatment in local clinical settings. Patients and methods: One hundred patients with single renal calculus of 0.6-2 cm in size were included. NCCT based determination of stone fragility in HU units was done for all patients. Patients were then subjected to ESWL, with a maximum of 3000 shock waves given per ESWL session. Plain film and/or ultrasonography was used to monitor ESWL treatment progress with a final NCCT evaluation at 12 weeks to determine the clearance of the calculi for each patient. Association of NCCT based stone fragility and outcome of ESWL was statistically analyzed using Fisher exact test. Results: The mean age of the patients was 37.7 ± 10.9 years with 54% being male. Decreasing stone fragility on NCCT (high = <500HU, moderate = 500-1000HU, and high = 1000HU) required more number and intensity of ESWL sessions (1-2 visits and 3000-6000 shock waves for high stone fragility group, 3-5 visits and 7000-18000 shock waves for the moderate group, and 6 visits and >18000 shock waves for low fragility group, respectively) necessary for clearance of urinary stones (p<0.001). In 98% of patients, the clearance of urinary stones was excellent. Conclusion: Renal stone patients with NCCT determined high and moderate stone fragility show an optimal response after ESWL treatment, whereas, for low fragility renal stones attenuative treatment like percutaneous nephrolithotomy and/or ureteroscopy should be considered instead of ESWL. This approach can enable patient stratification before ESWL therapy ensuring better clinical management of the renal stone disease.

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Diagnostic and therapeutic aspects of recurrent renal stone disease (duplicate)

African Journal of Nephrology ◽

10.21804/13-1-774 ◽

2009 ◽

Vol 13 (1) ◽

Author(s):

Anthony Meyers ◽

Natalie Whalley ◽

Maria Martins

Keyword(s):

Renal Stone ◽

Stone Disease ◽

Renal Stone Disease

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Primary Hyperparathyroidism: Is There an Increased Prevalence of Renal Stone Disease?

American Journal of Roentgenology ◽

10.2214/ajr.07.3160 ◽

2008 ◽

Vol 191 (3) ◽

pp. 908-911 ◽

Cited By ~ 57

Author(s):

Jane M. Suh ◽

John J. Cronan ◽

Jack M. Monchik

Keyword(s):

Primary Hyperparathyroidism ◽

Renal Stone ◽

Stone Disease ◽

Renal Stone Disease

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Clinical Effects of Prophylactic Dietary Treatment of Renal Stone Disease in Japan

Urolithiasis ◽

10.1007/978-1-4899-0873-5_237 ◽

1989 ◽

pp. 753-755

Author(s):

M. Iguchi ◽

Y. Ishikawa ◽

Y. Katayama ◽

M. Kodama ◽

M. Takada ◽

...

Keyword(s):

Renal Stone ◽

Dietary Treatment ◽

Stone Disease ◽

Clinical Effects ◽

Renal Stone Disease

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Nontypable Haemophilus influenzae Septicemia and Urinary Tract Infection Associated with Renal Stone Disease

The Open Microbiology Journal ◽

10.2174/1874285801812010243 ◽

2018 ◽

Vol 12 (1) ◽

pp. 243-247

Author(s):

Marianne Stærk ◽

Sara A. Tolouee ◽

Jens J. Christensen

Keyword(s):

Urinary Tract Infection ◽

Antibiotic Resistance ◽

Urinary Tract ◽

Tract Infection ◽

Haemophilus Influenzae ◽

Renal Stone ◽

Stone Disease ◽

Upper Respiratory Tract ◽

Renal Stone Disease ◽

Tract Infections

Introduction: Haemophilus influenzae commonly causes upper respiratory tract infections and has only rarely been reported etiology of urinary tract infections. Since the introduction of the Haemophilus influenzae b (Hib) vaccine, non-typable haemophilus species now cause the majority of invasive disease in Europe. Case Report: We report a case of an adult man with non-typable Haemophilus influenzae septicemia, urinary tract infection and bilateral renal stone disease. The patient presented with right sided flank pain and a CT scan showed bilateral renal stones and a right sided ureteral stone causing obstruction. Results and Discussion: Haemophilus influenzae was identified in blood and urine and despite a tendency of increasing antibiotic resistance among Haemophilus influenzae, our strain was susceptible to all antibiotics tested. Treatment consisted of 3 days of intravenous cefuroxime, insertion of a right sided JJ ureteric stent and 5 days of peroral ciprofloxacin after discharge. Physicians and microbiologists should be aware of Haemophilus influenzae as a possible urinary tract pathogen, especially when urinary tract abnormalities are present, and take the risk of antibiotic resistance into consideration at initial treatment.

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