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Published in: Urolithiasis 5/2008

01-10-2008 | Case Report

Acute renal failure due to bilateral ureteral stone impaction in an HIV-positive patient

Authors: Yoji Moriyama, Yuzuru Minamidate, Mitsuru Yasuda, Hidetoshi Ehara, Mina Kikuchi, Tomohiro Tsuchiya, Takashi Deguchi, Hisashi Tsurumi

Published in: Urolithiasis | Issue 5/2008

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Abstract

A 51-year-old HIV-positive man treated with atazanavir for 9 months presented with anuria following right flank pain. Laboratory examination indicated renal insufficiency, and abdominopelvic computed tomography scanning showed bilateral hydroureteronephrosis, but no stones were visualized. Endoscopic procedures were performed to investigate the causes of ureteral obstruction and, if possible, to insert Double-J stents in the ureters. A yellowish stone composed of pure atazanavir was found at the right ureteral orifice, and retrograde pyelography revealed a filling defect in the left ureter found to be caused by an atazanavir stone. The patient’s renal function recovered after removal of these stones.
Literature
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Metadata
Title
Acute renal failure due to bilateral ureteral stone impaction in an HIV-positive patient
Authors
Yoji Moriyama
Yuzuru Minamidate
Mitsuru Yasuda
Hidetoshi Ehara
Mina Kikuchi
Tomohiro Tsuchiya
Takashi Deguchi
Hisashi Tsurumi
Publication date
01-10-2008
Publisher
Springer-Verlag
Published in
Urolithiasis / Issue 5/2008
Print ISSN: 2194-7228
Electronic ISSN: 2194-7236
DOI
https://doi.org/10.1007/s00240-008-0147-3

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