Oxalosis

Case contributed by Dr Naim Qaqish

Presentation

Evaluation of patient known to have primary hyperoxaluria with end-stage renal disease.

Patient Data

Age: 17 years
Gender: Male
Fluoroscopy

Heavily calcified kidneys identified due to the patient's known disease.

The urinary bladder has a smooth outline without evidence of filling defects.

No evidence of vesicoureteric reflux seen on either side.

Voiding through a Foley catheter was done and there was no residual urine left in the bladder.

Osteomalacia of the pelvic bones with bilateral protrusio acetabuli.

* on some of the images in the fluoroscopy loop a hand is projected over the left kidney

X-ray

Right internal jugular venous dialysis catheter.

Heart size normal.

Prominent perihilar vascular markings without consolidation.

Clear costophrenic angles.

Heterogeneous bone marrow density of both upper limbs is noted, with deformed humeral heads.

Small dense kidneys are seen, due to the known metabolic disease.

Case Discussion

Fluoroscopy examination (micturating cystourethrography) was requested by our nephrology team for a 17-year-old male known to have primary hyperoxaluria resulting in end-stage renal disease (ESRD) on haemodialysis through a central line.

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Case information

rID: 74826
Published: 5th Mar 2020
Last edited: 15th Sep 2020
System: Urogenital
Inclusion in quiz mode: Included

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