Edit concept Create issue ticket

Renal Pelvic Calculus

Calculus in Renal Pelvis


Presentation

  • Case Report Mr A.Z is a 57-year-old man who presented with recurrent intermittent colicky right flank pain of a-year duration initially at a private hospital in Lokoja. At initial presentation, there was associated nausea and vomiting.[wajradiology.org]
  • Presentation Left flank pain Patient Data Age: 25 Gender: Male 2 case questions available Loading images...[radiopaedia.org]
  • Clinically, presenting symptoms contain hematuria, loin pain, abdominal lump and so on. Both two cases had flank pain and microscopic hematuria.[omicsonline.org]
  • Presentation Macrohaematuria, right flank pain. Patient Data Age: 65 Gender: Male Loading images... The right renal pelvis containing the calculus shows a thickened wall with unsharp delineation from the surrounding fat tissue.[radiopaedia.org]
  • He underwent renal transplantation using uretero-ureterostomy, and presented an episode of acute renal failure 7 years after surgery.[worldwidescience.org]
Chills
  • The following may be signs of kidney stones that need a doctor's help: Extreme pain in your back or side that will not go away Blood in your urine Fever and chills Vomiting Urine that smells bad or looks cloudy A burning feeling when you urinate Your[icdlist.com]
  • In cases in which a urinary tract infection is also present, the patient may report chills and fever. Determine the patient’s history to identify risk factors.[medical-dictionary.thefreedictionary.com]
  • A patient with kidney stones may present with flank pain on one or both sides, back pain, nausea and vomiting, urinary frequency, painful urination, abdominal pain, chills, and/or fever.[fortherecordmag.com]
  • Some signs of a UTI include: cloudy urine painful urination burning with urination a weak urine stream back pain bladder pain a fever chills If you see signs of hydronephrosis, schedule an appointment with your doctor to talk about your symptoms.[healthline.com]
  • The quantity of blood lost is small, but it is fresh blood. 4) URINARY TRACT INFECTION – fever with chills & rigors, pyuria, burning micturition & increased frequency of micturition may occur.[homeobook.com]
Pseudotumor
  • In addition, a lithiasis could be at the origin of an excessive reactive inflammatory process, carrying out a pseudotumoral aspect, however, this type of lesion gives a negative immunolabelling with the ALK, but the exact opposite is detected in our patient[casesjournal.biomedcentral.com]
Xanthoma
Flank Pain
  • Acute flank pain: Comparison of non-contrast-enhanced CT and intravenous urography. Radiology 1995;194:789-94. 9. Fielding JR, Steele G, Fox LA, Heller H, Loughlin KR.[wajradiology.org]
  • Presentation Left flank pain Patient Data Age: 25 Gender: Male 2 case questions available Loading images...[radiopaedia.org]
  • Presentation Macrohaematuria, right flank pain. Patient Data Age: 65 Gender: Male Loading images... The right renal pelvis containing the calculus shows a thickened wall with unsharp delineation from the surrounding fat tissue.[radiopaedia.org]
  • Both two cases had flank pain and microscopic hematuria. It is difficult to differentiate between the SCC and renal stone just from the symptoms because their symptoms are similar.[omicsonline.org]
  • , flank pain, upper abdominal pain Middle section of ureter Renal colic, anterior abdominal pain, flank pain Distal ureter Renal colic, dysuria, urinary frequency, anterior abdominal pain, flank pain Distal ureteral stones may be manifested by bladder[aafp.org]
Hematuria
  • Clinically, presenting symptoms contain hematuria, loin pain, abdominal lump and so on. Both two cases had flank pain and microscopic hematuria.[omicsonline.org]
  • Hematuria / Renal Stone What is the differential for hematuria? Trauma Renal calculi Renal cancer Bladder stone or cancer Acute glomerulonephritis Imaging workup of renal cancer and trauma is discussed elsewhere.[meddean.luc.edu]
  • Hematuria, or blood in the urine, is also a common symptom of kidney stones. However, since hematuria is usual with kidney stones, it should not be assigned as a secondary diagnosis.[fortherecordmag.com]
  • West Afr J Radiol 2014;21:99-101 Introduction Acute flank pain due to urolithiasis is a common complaint in patients presenting to emergency departments. [1] , [2] Patients typically present with radiating colicky pain with or without hematuria. [1] Patients[wajradiology.org]
  • Teach the patient to report any signs of complications, such as fever, chills, or hematuria, as well as any changes in urinary output patterns, to the primary caregiver.[medical-dictionary.thefreedictionary.com]

Workup

  • Trauma Renal calculi Renal cancer Bladder stone or cancer Acute glomerulonephritis Imaging workup of renal cancer and trauma is discussed elsewhere.[meddean.luc.edu]
  • This important workup can guide the physician to prescribe medications that can decrease the risk or stone formation in the future.[miamiurologyconsultants.com]
  • […] calculus Nuclear renal scanning: To objectively measure differential renal function, especially in a dilated system for which the degree of obstruction is in question; reasonable study in pregnant patients, in whom radiation exposure must be limited See Workup[emedicine.medscape.com]
Human Herpesvirus 8
  • View Article PubMed Google Scholar Gomez-Roman JJ, Ocejo-Vinyals G, Sanchez Velasco P, Nieto EH, Leyva-Cobian F, Val-Bernal JF: Presence of human herpesvirus-8 DNA sequences and overexpression of human IL-6 and cyclin D1 in inflammatory myofibroblastic[casesjournal.biomedcentral.com]
Lymphocytic Infiltrate
  • TRUS-guided prostate needle biopsy specimens often demonstrate a lymphocytic infiltrate, but frequently this is attributed to chronic inflammation of the prostate if hematolymphoid malignancy is not a consideration.[emedicine.medscape.com]

Treatment

  • Plentiful treatment methods have been tried in patients who suffer from renal SCC. The treatment approaches should be selected on the basis of age, the patient’s general condition, grading and staging of the cancer and patient compliance and so on.[omicsonline.org]
  • This question featured in : Non obstructing calculus Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment.[practo.com]
  • What the Radiologist Needs to Know About Urolithiasis: Part 2-CT Findings, Reporting, and Treatment. AJR Am J Roentgenol 2012;198:W548-54. 7. Shih WJ, Lorman JJ, King JJ.[wajradiology.org]
  • Surgery is the mainstay of treatment for a PUJ obstruction.[steinerurology.com.au]
  • […] of the kidneys precluding treatment with ureteroscopy.[miamiurologyconsultants.com]

Prognosis

  • The prognosis of renal SCC is relatively poor.[omicsonline.org]
  • Treatment and prognosis Staghorn calculi need to be treated surgically, usually PCNL (percutaneous nephrolithotomy) /- ESWL (extracorporeal shockwave lithotripsy) and the entire stone removed, including small fragments, as otherwise, these residual fragments[radiopaedia.org]
  • Wright et al ( 19 ) identified that urachal cancer possessed a significantly better prognosis than non-urachal cancer, while Mostofi et al ( 20 ) hypothesized that urachal adenocarcinomas were associated with a significantly worse prognosis.[spandidos-publications.com]
  • Antibiotics that kill oxalobacter formigenes include clarithromycin (Klaracid), doxycycline (Vibramycin), chloramphenicol, erythromycin, amoxicillin plus clavulanic acid. 4 Prognosis Prognosis is good in those who strictly follow the gluten-free diet,[pelotti.altervista.org]
  • Treatment and prognosis Treatment depends on the location of the stone, composition and size. Irrespective of stone composition, patients who present with renal colic require assessment. Approximately 90% of stones 1 .[radiopaedia.org]

Etiology

  • […] squamous differentiation Epidemiology Very rare tumor, except for patients with nonfunctioning hydronephrotic kidney due to renal pelvic stone disease ( Mol Clin Oncol 2015;3:941 ) Approximately equal men and women, age 50 - 70 years ( J Urol 2007;178:51 ) Etiology[pathologyoutlines.com]
  • Both congenital and acquired factors have been implicated in its etiology [3] .[ijri.org]
  • […] with serum and 24-hour urine metabolic evaluation, can identify an etiology in more than 95% of patients.[emedicine.medscape.com]
  • Regardless of the etiology for stone formation, all stone formers are encouraged to increase their fluid intake until they are expelling 2-3 liters of urine daily and to decrease their intake of salt and meat of any kind.[miamiurologyconsultants.com]
  • Urinary lithiasis: etiology, diagnosis and medical management. In: Walsh PC, et al., eds. Campbell's Urology. 7th ed. Philadelphia: Saunders,1998:2661–733. ... 2. Uribarri J, Oh MS, Carroll HJ. The first kidney stone.[aafp.org]

Epidemiology

  • […] urothelial differentiation (invasive or in situ) and not combined with another renal neoplasm Terminology Cases with associated urothelial carcinoma or urothelial carcinoma in situ are best classified as urothelial carcinoma with squamous differentiation Epidemiology[pathologyoutlines.com]
  • Epidemiology [ 2 ] Renal stones are common, being present at some time in one in ten of the population, although a significant proportion will remain asymptomatic.[patient.info]
  • Epidemiology, origin, pathophysiology, diagnosis, and management. Radiol Clin North Am . 1999;37:911–52v. 14. Chen MY, Zagoria RJ.[aafp.org]
  • View Article : Google Scholar : PubMed/NCBI 16 Ploeg M, Aben KK, van de Hulsbergen Kaa CA, Schoenberg MP, Witjes JA and Kiemeney LA: Clinical epidemiology of nonurothelial bladder cancer: Analysis of the Netherlands Cancer Registry.[spandidos-publications.com]
  • Epidemiology and economics of nephrolithiasis. Investig Clin Urol . 2017 Sep. 58 (5):299-306. [Medline] . [Full Text] . Saigal CS, Joyce G, Timilsina AR, Urologic Diseases in America Project.[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology Urinary calculi may have various compositions which include, in order of decreasing frequency: calcium oxalate, uric acid, struvite or infection (triple phosphate magnesium ammonium calcium phosphate), calcium phosphate and cystine.[auanet.org]
  • Epidemiology, origin, pathophysiology, diagnosis, and management. Radiol Clin North Am . 1999;37:911–52v. 14. Chen MY, Zagoria RJ.[aafp.org]
  • Kidney stones: pathophysiology and medical management. Lancet 2006 Jan 28;367(9507):333-44. Boyce CJ, Pickhardt PJ, Lawrence EM, et al.[effectivehealthcare.ahrq.gov]
  • Pathophysiology Formation of stones Urinary tract stone disease is likely caused by two basic phenomena. The first phenomenon is supersaturation of the urine by stone-forming constituents, including calcium, oxalate, and uric acid.[emedicine.medscape.com]

Prevention

  • Vigorous hydration promotes passing of stone, prevents urinary stasis, and aids in prevention of further stone formation. Document reports of increased and persistent abdominal pain.[nurseslabs.com]
  • Diuretics may be ordered to prevent urinary stasis.[medical-dictionary.thefreedictionary.com]
  • Prevention [ 2 ] Recurrence of renal stones is common and therefore patients who have had a renal stone should be advised to adapt and adopt several lifestyle measures which will help to prevent or delay recurrence: Increase fluid intake to maintain urine[patient.info]
  • Get Rid of Gallstones Naturally One of the main home remedies that you need to follow to prevent gallstones is a healthy lifestyle. You need to maintain a healthy body weight to prevent gallstones.[alpfmedical.info]
  • Pharmacological interventions for preventing complications in idiopathic hypercalciuria. Cochrane Database Syst Rev 2009 Jan 21; (1):CD004754. Kairaitis L. The CARI guidelines. Kidney stones: prevention of recurrent calcium nephrolithiasis.[effectivehealthcare.ahrq.gov]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!