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タイトル: | 薬物療法のみで消失したサンゴ状酸性尿酸アンモニウム結石の1例 |
その他のタイトル: | A Case of Ammonium Acid Urate Staghorn Calculi Lost Only in the Drug Therapy |
著者: | 川瀬, 紘太 高橋, 義人 小鷹, 博人 秋田, 和利 土屋, 邦洋 石田, 健一郎 山田, 徹 谷口, 光宏 |
著者名の別形: | Kawase, Kota Takahashi, Yoshito Kotaka, Hiroto Akita, Kazutoshi Tsuchiya, Kunihiro Ishida, Kenichiro Yamada, Toru Taniguchi, Mitsuhiro |
キーワード: | Ammonium acid urate urinary stone Staghorn calculi Urinary stone |
発行日: | 31-Jul-2019 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 65 |
号: | 7 |
開始ページ: | 283 |
終了ページ: | 285 |
抄録: | We report a case of a staghorn stone containing ammonium acid urate that was effectively treated with drug therapy alone. A 46-year-old man had recurring urinary tract stones. He had no previous episode of urinary tract stones that required hospitalization and operation. He received only drug therapy for hyperuricemia in another hospital. Ultrasonography and computed tomography revealed a left staghorn stone measuring 37×34 mm. The kidney-ureter-bladder radiograph did not show any stones. His urine was acidic, and we estimated that the left staghorn stone consisted of urate. Oral administration of sodium hydrogen carbonate was initiated to alkalize the urine, and treatment with transurethral lithotripsy (TUL) was scheduled. Before the TUL, analysis of an excreted stone sample revealed that it consisted of ammonium acid urate. The staghorn stone was completely removed in 10 months after the first medical examination. At present, the patient is free of urinary tract stones. |
著作権等: | 許諾条件により本文は2020/08/01に公開 |
DOI: | 10.14989/ActaUrolJap_65_7_283 |
URI: | http://hdl.handle.net/2433/243927 |
PubMed ID: | 31501392 |
出現コレクション: | Vol.65 No.7 |
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