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Bilateral kidney matrix stones: a rare case.
Mounir Lahyani1, Yassine Rhannam1, Amine Slaoui1
1Department of Urology B, Ibn Sina Hospital, Rabat, Maroc.
The Pan African Medical Journal
|March 16, 2017
Summary
Kidney matrix stones, a rare calculus type, often present with flank pain and urinary tract infections. This case highlights diagnosis and treatment of renal and ureteral matrix stones via open surgery, reviewing literature on clinical, radiological, and therapeutic features.
Area of Science:
- Nephrology
- Urology
Background:
- Matrix calculi are uncommon kidney stones characterized by a proteinaceous matrix.
- Common clinical presentations include flank pain and urinary tract infections (UTI).
Observation:
- Diagnosis is frequently incidental, often occurring during surgical procedures.
- Preoperative radiographic findings can sometimes suggest the presence of matrix stones.
Findings:
- Open surgery remains a definitive treatment option for matrix stones.
- Combined ureterorenoscopy and percutaneous nephrolithotomy (PCNL) offer a safe and effective alternative.
- This report details a rare case of renal and ureteral matrix stones managed with open surgery.
Implications:
- Understanding the clinical, radiological, and therapeutic aspects of matrix stones is crucial for effective management.
- Exploring minimally invasive techniques alongside traditional open surgery broadens treatment possibilities.
- Further research into suggestive preoperative findings could improve early diagnosis of these rare calculi.
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