Milk of calcium in renal calyces, renal pelvis, and ureter in a person with tetraplegia
Milk of calcium is a colloidal suspension of precipitated calcium salts which lies in a dependent manner and imaging reveals a horizontal upper edge. We report a 44-year-old male person with tetraplegia, who had been staying in bed for prolonged periods due to ischial and trochanteric pressure sores...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-07-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323002194 |
| _version_ | 1797822107301707776 |
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| author | Vaidyanathan Subramanian, MBBS, MS, MCh, PhD Bakulesh Madhusudan Soni, MBBS, MS Peter Hughes, MB, ChB, FRCR Rauf Khadr, MBChB, FRCS |
| author_facet | Vaidyanathan Subramanian, MBBS, MS, MCh, PhD Bakulesh Madhusudan Soni, MBBS, MS Peter Hughes, MB, ChB, FRCR Rauf Khadr, MBChB, FRCS |
| author_sort | Vaidyanathan Subramanian, MBBS, MS, MCh, PhD |
| collection | DOAJ |
| description | Milk of calcium is a colloidal suspension of precipitated calcium salts which lies in a dependent manner and imaging reveals a horizontal upper edge. We report a 44-year-old male person with tetraplegia, who had been staying in bed for prolonged periods due to ischial and trochanteric pressure sores. Ultrasound scan of the kidneys revealed numerous variable-sized stones in the left kidney. CT of abdomen showed stones in the left kidney with dense layering of calcific material in a dependent distribution assuming the shape of the renal pelvis and the calyces. CT images in axial and corresponding sagittal views showed milk of calcium exhibiting a fluid level in the renal pelvis and calyces and the ureter. This is the first report of milk of calcium detected in the renal pelvis and calyces as well as in the ureter of a person with spinal cord injury. Following insertion of a ureteric stent, the milk of calcium in the ureter drained partly but the renal milk of calcium persisted. The renal stones were pulverized by ureteroscopy and LASER lithotripsy. Follow-up CT of kidneys performed 6 weeks after surgery showed the milk of calcium in the left ureter had drained, but there was no significant change of the left sizeable branching pelvi-calyceal stone regarding its extension and density. |
| first_indexed | 2024-03-13T10:03:00Z |
| format | Article |
| id | doaj.art-2dea51b5540b459d80fdac094d5f37d5 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-13T10:03:00Z |
| publishDate | 2023-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-2dea51b5540b459d80fdac094d5f37d52023-05-23T04:21:31ZengElsevierRadiology Case Reports1930-04332023-07-0118723432348Milk of calcium in renal calyces, renal pelvis, and ureter in a person with tetraplegiaVaidyanathan Subramanian, MBBS, MS, MCh, PhD0Bakulesh Madhusudan Soni, MBBS, MS1Peter Hughes, MB, ChB, FRCR2Rauf Khadr, MBChB, FRCS3Regional Spinal Injuries Centre, Southport and Formby District General Hospital, Town Lane, Southport, PR8 6PN, United Kingdom; Corresponding author.Regional Spinal Injuries Centre, Southport and Formby District General Hospital, Town Lane, Southport, PR8 6PN, United KingdomDepartment of Radiology, Southport and Formby District General Hospital, Town Lane, Southport, PR8 6PN, United KingdomDepartment of Urology, Southport and Formby District General Hospital, Town Lane, Southport, PR8 6PN, United KingdomMilk of calcium is a colloidal suspension of precipitated calcium salts which lies in a dependent manner and imaging reveals a horizontal upper edge. We report a 44-year-old male person with tetraplegia, who had been staying in bed for prolonged periods due to ischial and trochanteric pressure sores. Ultrasound scan of the kidneys revealed numerous variable-sized stones in the left kidney. CT of abdomen showed stones in the left kidney with dense layering of calcific material in a dependent distribution assuming the shape of the renal pelvis and the calyces. CT images in axial and corresponding sagittal views showed milk of calcium exhibiting a fluid level in the renal pelvis and calyces and the ureter. This is the first report of milk of calcium detected in the renal pelvis and calyces as well as in the ureter of a person with spinal cord injury. Following insertion of a ureteric stent, the milk of calcium in the ureter drained partly but the renal milk of calcium persisted. The renal stones were pulverized by ureteroscopy and LASER lithotripsy. Follow-up CT of kidneys performed 6 weeks after surgery showed the milk of calcium in the left ureter had drained, but there was no significant change of the left sizeable branching pelvi-calyceal stone regarding its extension and density.http://www.sciencedirect.com/science/article/pii/S1930043323002194TetraplegiaUreterCalyceal stoneRenal stonesLithotripsyUreteroscopy |
| spellingShingle | Vaidyanathan Subramanian, MBBS, MS, MCh, PhD Bakulesh Madhusudan Soni, MBBS, MS Peter Hughes, MB, ChB, FRCR Rauf Khadr, MBChB, FRCS Milk of calcium in renal calyces, renal pelvis, and ureter in a person with tetraplegia Radiology Case Reports Tetraplegia Ureter Calyceal stone Renal stones Lithotripsy Ureteroscopy |
| title | Milk of calcium in renal calyces, renal pelvis, and ureter in a person with tetraplegia |
| title_full | Milk of calcium in renal calyces, renal pelvis, and ureter in a person with tetraplegia |
| title_fullStr | Milk of calcium in renal calyces, renal pelvis, and ureter in a person with tetraplegia |
| title_full_unstemmed | Milk of calcium in renal calyces, renal pelvis, and ureter in a person with tetraplegia |
| title_short | Milk of calcium in renal calyces, renal pelvis, and ureter in a person with tetraplegia |
| title_sort | milk of calcium in renal calyces renal pelvis and ureter in a person with tetraplegia |
| topic | Tetraplegia Ureter Calyceal stone Renal stones Lithotripsy Ureteroscopy |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323002194 |
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