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An atypical case of large bowel obstruction

Kaylie E Hughes1, James Arthur2

  • 1University Hospital Aintree, Liverpool, UK kaylie.hughes@doctors.org.uk.

Journal of Surgical Case Reports
|June 26, 2014
PubMed

Insights

Staghorn calculi, a common kidney stone type, can cause severe pain and infections. In a unique case, a staghorn calculus led to a benign colonic stricture, causing large bowel obstruction.

Area of Science:

  • Nephrology
  • Gastroenterology
  • Surgical Pathology

Background:

  • Renal calculi affect up to 9% of Europeans, with staghorn calculi comprising approximately 11% of cases.
  • Typical staghorn calculus symptoms include loin pain, recurrent urinary tract infections, and hematuria.
  • The pathogenesis of renal calculi and their potential systemic complications are areas of ongoing research.

Observation:

  • A rare case of large bowel obstruction is presented.
  • The obstruction was caused by a benign colonic stricture.
  • This stricture was secondary to extravasation of a staghorn calculus.

Findings:

  • This is the first documented instance of a staghorn calculus causing a colonic stricture leading to bowel obstruction.
  • The benign nature of the colonic stricture is emphasized.
  • The extravasation of the staghorn calculus is identified as the etiological factor for the stricture.

Implications:

  • This case highlights an unusual and severe complication of staghorn calculi.
  • It suggests the need for considering gastrointestinal complications in patients with complex renal calculi.
  • Further investigation into the mechanisms of calculus-induced tissue damage and stricture formation may be warranted.

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