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Journal of Case Reports
Medullary Sponge Kidney with Incomplete Renal Tubular Acidosis: A Poorly Understood Disease

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cialis generico
Sandeep Gupta, Pritesh Jain, Vipin Chandra, Dilip Kumar Pal
Department of Urology, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India.
Corresponding Author:
Dr. Sandeep Gupta
Email: drsandeepgupta2009@yahoo.in
Received: 18-MAR-2016 Accepted: 21-JUN-2016 Published Online: 30-SEP-2016
DOI: http://dx.doi.org/10.17659/01.2016.0111
Medullary sponge kidney (MSK) is usually a benign process which may remain asymptomatic and undetected for life. Incomplete distal renal tubular acidosis (RTA) may be found in as many as 30% to 40% of these patients. Clinical presentation usually occurs after 20 years of age. It may present with renal colic, recurrent urinary tract infection (UTI) and gross hematuria. We are presenting a case of 30 year old female who presented with recurrent urinary tract infection, underwent multiple surgeries for renal stone and due to insufficient follow up developed complications related to forgotten ureteric stent. She finally landed up as poorly functioning symptomatic right kidney and non-functioning left kidney for which nephrectomy was done. This case highlights the importance of earlier diagnosis, proper management and frequent follow up to preserve renal function in a case of MSK.
Keywords : Hematuria, Kidney Calculi, Medullary Sponge Kidney, Renal Colic, Stents.
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