We report the first case of a ureteric stone containing gas. This rare stone with gas within it was found during the management of a diabetic patient with urosepsis as the initial presentation. Literature review of cases of renal stone containing gas, mechanisms of gas within the stone, and clinical implications of stone containing gas are discussed. Also, a new terminology is proposed to describe this phenomenon.
References
[1]
Simpson, A.D., Rytina, E.R., Ball, R.Y. and Gaches, C.G. (1998) ‘Stones, Gas and Gaiters’: Gas-Filled Matrix Calculi of the Renal Pelvis. British Journal of Urology, 81, 770-772. https://doi.org/10.1046/j.1464-410x.1998.00594.x
[2]
Nilsen, F.S., Karlsen, S.J. and Gjertsen, O. (2001) Gas-Containing Renal Stones Treated with Percutaneous Nephrolithotomy: Case Report. Journal of Endourology, 15, 915-917. https://doi.org/10.1089/089277901753284134
[3]
Paterson, R.F., Welsch, J.M., Koerner, T. and Lingeman, J.E. (2002) Urinary Calculus Containing Gas. Urology, 60, 164. https://doi.org/10.1016/S0090-4295(02)01666-7
Manny, T.B., Mufarrij, P.W., Lange, J.N., Mirzazadeh, M., Hemal, A.K. and Assimos, D.G. (2012) Gas-Containing Renal Stones: Findings from Five Consecutive Patients. Urology, 80, 1203-1208. https://doi.org/10.1016/j.urology.2012.08.035
[6]
Durhan, G., Ayyildiz, V., Özmen, M. and Akata, D. (2015) Gas Containing Renal Stone, a Fatal Sign. CausaPedia, 4, Article No. 1188.
[7]
Wazzan, M.A. and Abduljabbar, A.H. (2019) Gas Containing Renal Stone—Case Report. Urology Case Reports, 25, Article ID: 100887. https://doi.org/10.1016/j.eucr.2019.100887
[8]
Peter, J., Bhat, S. and Paul, F. (2020) Gas-Containing Renal Stones. Indian Journal of Urology, 36, 67-68.
[9]
Benjamin, L.T.Y., Kiat, L.S. and Li-Tsa, K. (2020). Gas-Containing Renal Stones: A Case Report and Literature Review. Surgery Case Reports, 1-3. https://doi.org/10.31487/j.JSCR.2020.01.08
[10]
Hammad, F.T. (2020) Gas-Containing Renal Matrix Stones in a Patient with Emphysematous Pyelitis Treated with Delayed Percutaneous Nephrolithotomy. Journal of Endourology Case Reports, 6, 445-447. https://doi.org/10.1089/cren.2020.0092