Biomedical
Peer Reviewed
The article "Symptomatic renal papillary varicosities and medullary nephrocalcinosis" presents a case of a 24-year-old female with hematuria associated with nephrocalcinosis and renal papillary varicosities. The patient was successfully treated using flexible ureteroscopy and laser fulguration.
The article highlights that nephrocalcinosis is often asymptomatic but can manifest with renal colic or hematuria. While there is no reported association between nephrocalcinosis and renal vascular malformations, the case presented demonstrates that these conditions can coexist and contribute to hematuria.
The patient underwent imaging that revealed intermittent right-sided hydronephrosis. Cystoscopy identified hematuria from the right ureteral orifice. Diagnostic flexible ureteroscopy revealed numerous intrapapillary renal stones and varicose veins of several renal papillae. A 200 μm holmium laser fiber was used to unroof these stones and fulgurate the varicosities, leading to resolution of her symptoms for several months.
The case underscores the importance of considering the coexistence of nephrocalcinosis and renal vascular malformations in patients presenting with hematuria. Flexible ureteroscopy with laser fulguration offers an effective diagnostic and therapeutic modality for these concurrent conditions when symptoms arise.
Show by month | Manuscript | Video Summary |
---|---|---|
2025 April | 1 | 1 |
2025 March | 56 | 56 |
2025 February | 43 | 43 |
2025 January | 51 | 51 |
2024 December | 56 | 56 |
2024 November | 38 | 38 |
Total | 245 | 245 |
Show by month | Manuscript | Video Summary |
---|---|---|
2025 April | 1 | 1 |
2025 March | 56 | 56 |
2025 February | 43 | 43 |
2025 January | 51 | 51 |
2024 December | 56 | 56 |
2024 November | 38 | 38 |
Total | 245 | 245 |