[Megacalycosis and lithiasis].

Abstract:

OBJECTIVES:Megacalycosis or Puigvert's disease is a clinical entity characterized by dilatation of all renal calyces without dilatation of the renal pelvis or ureter in the absence of any obstructive factor. To date, its pathogenesis remains unclear. The rarity of this disease and the importance of making a correct differential diagnosis prompted us to report on the present case. METHODS/RESULTS:Two patients with urolithiasis associated with ipsilateral megacalyces who were successfully treated by ESWL are described. The clinical, diagnostic and therapeutic aspects reported in the literature are briefly reviewed. CONCLUSIONS:There is a greater lithogenic predisposition in these patients. Intravenous urography has proved to be very accurate in making the differential diagnosis from other disorders such as obstructive uropathy and intermittent hydronephrosis. The efficacy of ESWL in the treatment of lithiasis associated with megacalycosis is underscored. A yearly control follow up by analyses and intravenous urography is advocated.

journal_name

Arch Esp Urol

authors

Pereira Arias JG,Gurtubay Arrieta I,Escobal Tamayo V,Ibarluzea González JG,Jorge Catalina A,Bernuy Malfaz C

subject

Has Abstract

pub_date

1995-04-01 00:00:00

pages

310-4

issue

3

eissn

0004-0614

issn

1576-8260

journal_volume

48

pub_type

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