Co-incidental urolithiasis in patients  with gall stones

Safa El-dean S.Nema, Dr.

	Co-incidental urolithiasis in patients with gall stones
Thi-Qar Medical Journal
Article 1, Volume 2, Issue 1, 2008, Pages 51-62
Author
Dr. Safa El-dean S.Nema
Abstract
ABSTRACT Background Gall stones and renal stones are one of the common pathologies recorded all over the world , there are many types for both renal and gall stones as well as different etiology and causing different signs and symptoms . Objective. The study planned to determine if there is significant statistical association between the coexistence of renal stones with gall stones . Patients and Methods 140 patients presented with gall stones from the period of January 2007 until march 2008 in out patient clinic, 117(83.5%) patients where females and 23(16.5%) where males, all the patients examined by ultrasound for both renal and gall stones and some patients with renal stones examined by KUB x-ray and/or IVU, records of all patients reviewed for age, gender, gross appearance of both types of stones post operatively (for those who were operated) and for those patients passing renal stones per urethra and correlated with the type of gall stone that seen post operatively, the patients underwent different modalities of treatments, by surgery (open or laparo- scopic cholecystectomy ),(nephrolithotomy),or conservative for both types of stones. Results. Regarding the gall stones, surgical treatment done for 118 patients, 100 of them by laparoscopic cholecystectomy and open cholecystectomy for 18 patients, while 22 patients treated conservatively, and regarding the renal stones 12 patients of them operated during the course of study, and 20 patients of them passing their stones per urethra, and all these stones seen grossly, the other patients treated conservatively, the study shows positive presence of renal stones in 95 (67.9%) patients of total number, the coincidence was noticed to increase with age (p value >0.05) and with pigmented gall stones and female sex (p value <0.05 for both). Conclusion There is significant positive coincidental presence of renal stones in patients with gall stones in this study. Aim of Study This study planned to determine the statistical relation ship between coincidental presence of renal stone(s) and gall stone(s) after observing a remarkable incidental occurrence of both of them, a step that hinders the search for their etiological factors.

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