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[Lithiasis in megacalyosis]
F Monreal García De Vicuña1, J García Penit, L Miniño Pimentel
1IUNA, Fundación Puigvert, Barcelona, España.
Archivos Espanoles De Urologia
|May 20, 1998
Summary
Megacalyosis, a rare kidney anomaly, is frequently linked to kidney stones (lithiasis) and urinary tract infections. Early diagnosis via intravenous pyelography (IVP) is crucial for effective management.
Area of Science:
- Nephrology
- Urology
- Medical Genetics
Context:
- Megacalyosis is a rare congenital anomaly affecting the renal medulla.
- Lithiasis (kidney stones) is a common complication associated with megacalyosis.
- Understanding the relationship between megacalyosis and lithiasis is essential for patient management.
Purpose:
- To review a series of patients with lithiasis associated with megacalyosis.
- To analyze the characteristics and outcomes of megacalyosis-related lithiasis.
- To identify diagnostic methods and treatment strategies for this rare condition.
Summary:
- This study reviewed 39 cases of megacalyosis, finding that 27 (69.2%) were associated with lithiasis.
- Struvite and whewelite calculi were prevalent, and 40.7% of patients had urinary tract infections (UTIs) caused by E. coli, Pseudomonas, and Proteus.
- Extracorporeal shock wave lithotripsy (ESWL) with hyperhydration was the primary treatment, and intravenous pyelography (IVP) is the main diagnostic tool.
Impact:
- Highlights the high prevalence of lithiasis in megacalyosis patients.
- Emphasizes the frequent co-occurrence of UTIs, necessitating consideration during treatment.
- Underscores the importance of IVP in diagnosing megacalyosis.