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Multiple myeloma presenting as bilateral renal complex stones
Abdellatif Janane1, Mohammed Ghadouane, Mohammed Alami
1Department of Urology, Military Hospital Mohamed V, Rabat, Morocco. a.janane@caramail.com
Scandinavian Journal of Urology and Nephrology
|May 15, 2003
Summary
Multiple myeloma can cause hypercalcemia and kidney stones. This case highlights a rare instance where large bilateral kidney stones led to the diagnosis of multiple myeloma.
Area of Science:
- Nephrology
- Oncology
- Urology
Background:
- Hypercalcemia is a common complication in multiple myeloma patients.
- Kidney complications, including nephrocalcinosis and renal calculi, can occur in multiple myeloma.
Observation:
- A case of multiple myeloma presented with bilateral calcium renal staghorn calculi.
- The complex lithiasis was the initial indicator of the underlying malignancy.
Findings:
- The study details the medical treatment of multiple myeloma and surgical management of staghorn calculi.
- Successful management of both the malignancy and the kidney stones was achieved.
Implications:
- This case underscores the importance of investigating unexplained renal lithiasis, especially staghorn calculi, for potential underlying hematological malignancies.
- Early diagnosis and integrated treatment of multiple myeloma and its renal complications are crucial for patient outcomes.