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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

314
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
314
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

160
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
160
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

339
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
339
Urinary Tract Calculi I: Introduction01:28

Urinary Tract Calculi I: Introduction

369
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
369
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

241
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
241
Urinary Tract Calculi IV: Nutrition Therapy and Prevention01:27

Urinary Tract Calculi IV: Nutrition Therapy and Prevention

329
Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
329

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[Giant stone complicating calyceal diverticulum].

Mohammed Alae Touzani1, Imad Ziouziou2

  • 1Service d'Urologie «B», Hôpital Avicenne, Rabat, Maroc.

The Pan African Medical Journal
|November 7, 2019
PubMed
Summary

Calyceal diverticulum, a kidney cavity, can harbor large stones. This case highlights conservative management for an asymptomatic elderly patient with a giant stone in a caliceal diverticulum.

Keywords:
Urinary lithiasiscalyceal diverticulummalformationtreatment

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Area of Science:

  • Urology
  • Nephrology
  • Radiology

Context:

  • Calyceal diverticulum is a cystic cavity within the renal parenchyma.
  • It communicates with the collecting system via an infundibulum.
  • Stones are present in over 40% of cases, often as milk of calcium or multiple small stones.

Purpose:

  • To report a case of a giant stone within a caliceal diverticulum in an 82-year-old patient.
  • To discuss the diagnostic imaging and management options for such a condition.

Summary:

  • An 82-year-old patient presented with chronic, mild flank pain due to a 28mm stone in a caliceal diverticulum communicating with the renal pelvis.
  • Imaging included plain X-ray and uroscanner.
  • The patient was asymptomatic and uninfected, leading to a decision for conservative management and monitoring.

Impact:

  • This case underscores the importance of considering conservative management for asymptomatic or paucisymptomatic elderly patients with large stones in caliceal diverticula.
  • It reviews current treatment recommendations, emphasizing intervention only for symptomatic stones.
  • The abstract also touches upon various treatment modalities including extracorporeal shockwave lithotripsy, ureteroscopy, and surgical options.