Document Detail


Endoscopic management of milk of calcium-filled ureterocele stump.
MedLine Citation:
PMID:  14744363     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 38-year-old woman with a duplicated right collecting system and a history of right upper-pole heminephrectomy was referred for persistent dysuria and right lower-quadrant abdominal discomfort. Imaging identified a remnant ureter and a ureterocele filled with what appeared to be a large homogenous stone. At cystoscopy, the ureterocele was incised with a holmium:YAG laser, releasing a large quantity of white milky fluid (milk of calcium). There was no evidence of any solid material. Endoscopic evaluation should be the first step in patients with stones in a ureteral stump because milk of calcium may be the etiology of what appears to be a large stone burden in an obstructed system.
Authors:
Jeremy Lieb; Harrison M Abrahams; A K Das
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endourology / Endourological Society     Volume:  17     ISSN:  0892-7790     ISO Abbreviation:  J. Endourol.     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2004-01-27     Completed Date:  2004-04-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8807503     Medline TA:  J Endourol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  917-8     Citation Subset:  IM    
Affiliation:
Pacific Urology, 2222 East Street, Suite 250, Concord, CA 94520, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Animals
Calcium Oxalate / chemistry
Female
Follow-Up Studies
Humans
Milk / adverse effects,  metabolism
Nephrectomy / adverse effects*,  methods
Risk Assessment
Tomography, X-Ray Computed / methods
Treatment Outcome
Ureteral Calculi / chemistry*,  diagnosis,  surgery*
Ureterocele / diagnosis,  etiology,  surgery*
Ureteroscopy / methods*
Urodynamics
Urogenital Abnormalities / diagnosis,  surgery
Chemical
Reg. No./Substance:
25454-23-3/Calcium Oxalate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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