Medullary sponge kidney and ulcerative colitis in the same patient: an extremely rare combination

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2007 (EN)
Medullary sponge kidney and ulcerative colitis in the same patient: an extremely rare combination (EN)

A. Hatzivassiliou, S. Kalogerakos, J.K. Triantafillidis, C. Iatrou,

SUMMARY We describe a female patient with ulcerative colitis from the age of 19, who was diagnosed as having medullary sponge kidney 3 years after the diagnosis of inflammatory bowel disease. The diagnosis of medullary sponge kidney was based on the typical appearance of both kidneys on abdominal ultrasound examination. All other well-known causes of medullary sponge kidney were excluded on the basis of the relevant laboratory investigation. So far, the patient has experienced no renal colic or urinary infections. Her renal function is normal. She is under maintenance treatment with azathioprine. The benign nature of the situation was explained. She was advised to drink at least one and a half litres of water daily, in order to reduce the risk of nephrolithiasis. The combination of the two disorders in our patient is probably the result of chance. However, bearing in mind the potentially dangerous longterm results of medullary sponge kidney, we suggest that patients with ulcerative colitis must have a careful ultrasound examination of both kidneys at least at the beginning of inflammatory bowel disease, as conservative measures could result in avoidance of potentially dangerous complications, such as renal stones and infections. (EN)




Hellenic Society of Gastroenterology (EN)

Annals of Gastroenterology; Volume 17, No 2 (2004) (EN)

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