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Litiasis renal en paciente con enfermedad de crohn: reporte de caso / Renal lithiasis in patient with crohn's disease: case report
Ojeda-Crespo, Alexander Oswaldo; Ojeda-Cedillo, Alexander Xavier; Ojeda-Cedillo, Andrés Eduardo; Ojeda-Cedillo, Peter Oswaldo; Mengual, Edgardo.
  • Ojeda-Crespo, Alexander Oswaldo; Universidad Técnica de Machala. El Oro. EC
  • Ojeda-Cedillo, Alexander Xavier; Universidad del Zulia. Zulia. VE
  • Ojeda-Cedillo, Andrés Eduardo; Universidad del Zulia. Zulia. VE
  • Ojeda-Cedillo, Peter Oswaldo; Universidad del Zulia. Zulia. VE
  • Mengual, Edgardo; Universidad del Zulia. Zulia. VE
Rev. cientif. cienc. med ; 23(1): 97-101, 2020. ilus
Article in Spanish | LILACS | ID: biblio-1126285
RESUMEN
Caso de litiasis renal por oxalato de calcio asociado a enfermedad de Crohn de reciente debut en paciente masculino 43 años proveniente del Canton las Piñas, Provincia El Oro en Ecuador, sin antecedentes patológicos en relación a su enfermedad. En enero 2020 acude a consulta particular con dolor en fosa iliaca derecha, fiebre, fatiga, hiporexia, pérdida de peso, tenesmo y diarrea. Gastroenterólogo observó colon derecho con úlceras, áreas de mucosa infiltrada, y el estudio anatomopatológico identifica ulceraciones en subserosa, abscesos, infiltrado inflamatorio mixto, granulomas epitelioides con células gigantes multinucleadas. Previo consentimiento se realiza ecosonografía, detectándose un cálculo renal derecho de 5 mm de tamaño y otro de 4 mm en el izquierdo. El análisis de orina reporta aciduria, cristales oxalato de calcio y la radiografía simple demostró sombra de los cálculos. El estudio metabólico la 1,25 dihidroxivitamina D y la hormona paratiroidea resultó negativo. La evolución fue favorable y continua en control periódico que de ameritar se ordenaría tomografía helicoidal sin contraste o urograma excretorio.
ABSTRACT
We present a case of kidney stones due to calcium oxalate stones associated with Crohn's disease of recent debut in a 43-year-old male patient from the Piñas canton-El Oro Province-Ecuador with no personal and family pathological history in relation to his disease and that in January 2020 he went to a private medical consultation for presenting colic-type abdominal pain located in the right iliac fossa, fever, fatigue, hyporexia, weight loss, tenesmus and sometimes diarrhea. The gastroenterologist observed right colon with ulcers and infiltrated mucosa areas; samples are taken for histopathological study. Anatomopathology It was identified ulcerations in subserosa, abscesses, mixed inflammatory infiltrate, epithelioid granulomas with multinucleated giant cells diagnosed with Crohn's disease. With the patient's consent, an echo-sonographic study was made, detecting a right kidney stone 5 mm in size and 4 mm in the left. Urinalysis showed aciduria, calcium oxalate crystals, and plain abdominal radiography showed shadow of the stones. In the metabolic study the 1,25 dihydroxyvitamin D and parathyroid hormone was negative. The evolution was favorable and he continuous in periodic control that, if it's required, would be ordered a helical computed tomography without contrast or excretory urogram.
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Ulcer / Calculi / Kidney Calculi / Lithiasis Type of study: Prognostic study Language: Spanish Journal: Rev. cientif. cienc. med Journal subject: Medicine Year: 2020 Type: Article Affiliation country: Ecuador / Venezuela Institution/Affiliation country: Universidad Técnica de Machala/EC / Universidad del Zulia/VE

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Full text: Available Index: LILACS (Americas) Main subject: Ulcer / Calculi / Kidney Calculi / Lithiasis Type of study: Prognostic study Language: Spanish Journal: Rev. cientif. cienc. med Journal subject: Medicine Year: 2020 Type: Article Affiliation country: Ecuador / Venezuela Institution/Affiliation country: Universidad Técnica de Machala/EC / Universidad del Zulia/VE