Flexible ureterolithotripsy for the management of multiple gas-containing renal calculi: A case report and literature review

Lin Xiong; Kristine J S Kwan; Xiang Xu; Geng-Geng Wei; Zhen-Quan Lu

doi:10.1016/j.eucr.2023.102500

Flexible ureterolithotripsy for the management of multiple gas-containing renal calculi: A case report and literature review

Urol Case Rep. 2023 Jul 8:50:102500. doi: 10.1016/j.eucr.2023.102500. eCollection 2023 Sep.

Authors

Lin Xiong¹, Kristine J S Kwan², Xiang Xu¹, Geng-Geng Wei¹, Zhen-Quan Lu¹

Affiliations

¹ Department of Urology, The University of Hong Kong - Shenzhen Hospital, Shenzhen, China.
² International School, Jinan University, Guangzhou, China.

Abstract

Gas-containing renal stones (GCS) are rare urological entities. Current literature has suggested possible associations with premenopausal women, urinary tract infection, and metabolic diseases. We report the case of a 25-year-old young woman with no underlying co-morbidities who had multiple right GCS and suspected emphysematous pyelitis. Antibiotic therapy was initiated to control her urinary tract infection with E. coli. She then underwent elective right flexible ureteroscopy to relieve her ureteropelvic junction obstruction. Complete stone retrieval was achieved and she made an uneventful recovery with no stone recurrence during 1-year follow-up.

Keywords: Gas; Nephrolithiasis; Ureteroscopy; Urinary tract infection.

Publication types

Case Reports