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[Osseous lithiasis: an unusual condition].

J G Pereira Arias1, J G Ibarluzea González, J A Alvarez Martínez

  • 1Servicio de Urología, Hospital de San Eloy.

Actas Urologicas Espanolas
|August 16, 2003
PubMed
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Bone lithiasis, a rare condition involving bone metaplasia in the urinary tract, requires a high index of suspicion for diagnosis. Treatment involves surgical removal and urothelium resection to prevent recurrence and monitor for potential tumoral transformation.

Area of Science:

  • Urology
  • Pathology

Background:

  • Bone lithiasis is an infrequent condition characterized by bone metaplasia within the urothelium and connective tissues.
  • Diagnosis often requires a high index of suspicion, supported by radiological findings and resistance to extracorporeal lithotripsy.

Observation:

  • A case report details a 49-year-old patient presenting with left obstructive uropathy caused by a high ureteral calculus.
  • The patient underwent ureterolithotomy and partial ureterectomy following failed extracorporeal lithotripsy.

Findings:

  • Histological examination confirmed the presence of bone lithiasis and squamous metaplasia.
  • This diagnosis highlights the importance of histological confirmation for rare urinary tract calculi.

Implications:

Related Experiment Videos

  • Current treatment strategies for bone calculus involve surgical lithotomy and urothelial resection to minimize recurrence.
  • The potential association with tumoral transformation necessitates close, long-term patient follow-up.