Combined treatment of medullary sponge kidney by EDTA potassium citrate and extracorporeal shock wave lithotripsy.
A case of successful renal calculus dissolution by the combined treatment which consists of irrigation with ethylenediaminetetraacetic acid (EDTA), potassium citrate, and extracorporeal shock-wave lithotripsy (ESWL) is described here. Renal irrigation via nephrostomy, which was the main treatment, was attempted on a 34-year-old Japanese male who had bilateral nephrocalcinosis caused by type 1 renal tubular acidosis associated with an impacted calculus in the right ureter. Finally, most of the calculi have been dissolved within 1 year.
D000328:Adult; D002951:Citrates / Q000627:therapeutic use*; D019343:Citric Acid; D004492:Edetic Acid / Q000627:therapeutic use*; D006801:Humans; D007669:Kidney Calculi / Q000209:etiology / Q000628:therapy*; D008096:Lithotripsy; D008297:Male; D007691:Medullary Sponge Kidney / Q000150:complications / Q000628:therapy*; D009397:Nephrocalcinosis / Q000209:etiology / Q000628:therapy*; D007507:Therapeutic Irrigation
D002951:Citrates; D019343:Citric Acid; D004492:Edetic Acid