Complex metabolic disorders revealing a gastric ulcer of the bulb. A case report

Complex metabolic disorders revealing a gastric ulcer of the bulb. A case report

We report the case of a 54-year-old man, without particular pathological antecedents admitted to the emergency of the university hospital of Monastir, for right renal colic. Radiography of the urinary tract without preparation and renal echography showed bilateral renal lithiasis and a right uretera...

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Bibliographic Details
Published in:Annales de biologie clinique (Paris) Vol. 67; no. 4; p. 447
Main Authors: Neffati, F, Hellara, I, Jelizi, M A, Bahri, J, Douki, W, Amor, A Ben, Najjar, M F
Format: Journal Article
Language:French
Published: France 01-07-2009
Subjects:
Alkalosis - complications
Alkalosis - pathology
Anti-Ulcer Agents - therapeutic use
Colic - pathology
Creatinine - blood
Humans
Hypokalemia - complications
Hypokalemia - pathology
Kidney Diseases - pathology
Male
Middle Aged
Omeprazole - therapeutic use
Stomach Ulcer - complications
Stomach Ulcer - drug therapy
Stomach Ulcer - pathology
Ureteral Obstruction - complications
Ureteral Obstruction - pathology
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Summary:We report the case of a 54-year-old man, without particular pathological antecedents admitted to the emergency of the university hospital of Monastir, for right renal colic. Radiography of the urinary tract without preparation and renal echography showed bilateral renal lithiasis and a right ureteral lithiasis. The interrogation revealed concept of vomiting after which the patient felt relieved. The biological assessment objectified an hypochloremic metabolic alcalosis, an increase in the anion gap, a severe impaired renal function of obstructive origin and an hypokaliemia. The presence of the lithiasis did not explain on its own the metabolic disorders of this patient. The other investigations showed that initial pathology was an evolutionary bulb ulcer into pre-stenosis justifying treatment by omeprazole and explaining the biological disorders.
ISSN:0003-3898
DOI:10.1684/abc.2009.0338