[A case of urolithiasis associated with short bowel syndrome].
We report a case of urolithiasis associated with short bowel syndrome. A 56-year-old woman was admitted to our hospital for asymptomatic bilateral renal stones. She had received extensive resection of small intestine due to strangulating obstructive ileus 7 years ago (residual intestine, only 20 cm). Subsequently, she was in a state of short bowel syndrome. Plain film of kidney, uteter, bladder and computed tomography revealed bilateral renal stones (right 4 mm, left 10 mm). The left renal stone was successfully treated by extracorporeal shock wave lithotripsy. Since the right renal stone was small, no treatment was performed. The stone fragments were composed of calcium oxalate and calcium phosphate, and excessive urinary excretion of oxalate (103.8 mg/day) was observed. In this patient, urolithiasis was diagnosed to be due to enteric hyperoxaluria caused by short bowel syndrome. To prevent the recurrence of stone formation, she was treated with oral administration of calcium lactate, sodium/potassium citrate and magnesium oxide. We review the Japanese literatures on urolithiasis with short bowel syndrome.
Kato
Yuji
Y
Department of Urology, Asahikawa Medical College.
Tamaki
Gaku
G
Tokumitsu
Masayuki
M
Yamaguchi
Satoshi
S
Yachiku
Sunao
S
Okuyama
Mitsuhiko
M
D017610:Calcium Compounds / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000737:chemistry / Q000150:complications* / Q000517:prevention & control / Q000628:therapy; D007773:Lactates / Q000008:administration & dosage; D008096:Lithotripsy; D008277:Magnesium Oxide / Q000008:administration & dosage; D008875:Middle Aged; D019357:Potassium Citrate / Q000008:administration & dosage; D055502:Secondary Prevention; D012778:Short Bowel Syndrome / Q000150:complications*
D017610:Calcium Compounds; D007773:Lactates; C110051:calcium lactate; D008277:Magnesium Oxide; D019357:Potassium Citrate