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[Egg-shaped macro-lithiasis]

T Richard1, C Hauzeur2, M Vanhaeverbeek1

  • 1Service de Médecine interne, Hôpital André Vésale, C.H.U. de Charleroi.

Revue Medicale De Bruxelles
|June 28, 2017
PubMed

Insights

A large struvite kidney stone (5 cm) in a 76-year-old female was successfully removed after antibiotic treatment for Proteus bacteriuria. Analysis revealed a type IVc stone structure.

Area of Science:

  • Nephrology
  • Urology
  • Microbiology

Context:

  • A 76-year-old female presented with left flank pain and elevated inflammatory markers.
  • Imaging revealed a large, 5 cm egg-shaped kidney stone (macro-lithiasis).
  • The patient had concurrent Proteus bacteriuria.

Purpose:

  • To report a case of large struvite kidney stone management.
  • To describe the diagnostic and therapeutic approach.
  • To characterize the stone's micro-structure.

Summary:

  • The patient underwent a 7-day course of levofloxacin to treat Proteus bacteriuria.
  • Laparoscopic nephrolithotomy was performed for the kidney stone removal.
  • Post-operative analysis identified the stone as struvite lithiasis with a type IVc disorganized radial-section nuclear structure.

Impact:

  • Highlights the importance of addressing bacteriuria in kidney stone management.
  • Demonstrates the efficacy of a combined antibiotic and surgical approach.
  • Provides insights into the micro-structural characteristics of complex struvite stones.
Keywords:
NephrolithiasisStruvite

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