Renal surgery can "precipitate" stone disease in mild asymptomatic primary hyperparathyroidism.
We report on a patient in whom 3 large renal calculi formed within 12 weeks after pyeloplasty. Subsequently, a parathyroid adenoma was found. This report illustrates the need to evaluate thoroughly a patient with borderline elevation of serum calcium before renal surgery. Current research indicates that primary hyperparathyroidism is more prevalent than thought previously. A majority of patients with primary hyperparathyroidism have mild asymptomatic disease detected solely by routine serum chemistry screening tests.
D000236:Adenoma / Q000150:complications; D002118:Calcium / Q000097:blood; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000150:complications*; D007669:Kidney Calculi / Q000209:etiology*; D007682:Kidney Pelvis / Q000601:surgery*; D008875:Middle Aged; D010282:Parathyroid Neoplasms / Q000150:complications; D011183:Postoperative Complications
D002118:Calcium