Karimbayev Kidirali
International Kazakh-Turkish University, Kazakhstan
Title: Late and rare complications of urolithiasis: Paranephric abscess and renal replacement lipomatosis
Biography
Biography: Karimbayev Kidirali
Abstract
Background: We present a case of 62 year-old Kazakh women who for a long period of time suffered from back pain, weakness (has been treated with osteochondrosis), and was not aware about her kidney stones. She had never had hematuria or renal colic and urgently was admitted in a severe condition with large palpable abdominal mass.
Methods: Physical examination, laboratory data, radiology of the urinary tract, surgical treatment, histology, medical follow-up.
Results: On physical examination: The lumbar region on the right side is oedematic, hyperemic, and sharply painful on palpation. Oedema spreads down into iliac region and suprapubic area; and medially – to the median line with involvement of the umbilical ring. MRI of the urinary tract: The size of the right kidney is reduced; shadow of multiple stones seen in; the parenchyma is thinned. Beginning from the lower pole of the right kidney up to the pelvic cavity – shadow of a liquid mass with heterogenous density, measuring 21 x 8.4 cm is determined.
Surgical Procedure: Lumbotomy, lower paranephral abscess drainage. Later – right nephrectomy.
Histology: Renal replacement lipomatosis, severe renal tubular dystrophy.
Conclusions: Nontreated urolithiasis may lead to loss of the kidney function and development of life-threatening complications like paranephric abscess and renal replacement lipomatosis.