Endoscopic management of milk of calcium-filled ureterocele stump.
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.
Lieb
Jeremy
J
Pacific Urology, 2222 East Street, Suite 250, Concord, CA 94520, USA.
Abrahams
Harrison M
HM
Das
A K
AK
D000328:Adult; D000818:Animals; D002129:Calcium Oxalate / Q000737:chemistry; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008892:Milk / Q000009:adverse effects / Q000378:metabolism; D009392:Nephrectomy / Q000009:adverse effects* / Q000379:methods; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014514:Ureteral Calculi / Q000737:chemistry* / Q000175:diagnosis / Q000601:surgery*; D014518:Ureterocele / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D018666:Ureteroscopy / Q000379:methods*; D014563:Urodynamics; D014564:Urogenital Abnormalities / Q000175:diagnosis / Q000601:surgery
D002129:Calcium Oxalate