{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:22:17Z","timestamp":1787764937054,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022]]},"abstract":"<jats:p>Medullary sponge kidney (MSK) is a rare renal malformation characterized by precalyceal tubular ectasia of the renal collecting ducts that clinically manifests as recurrent renal stones, distal renal tubular acidosis (dRTA), osteoporosis, and nephrocalcinosis. In this case report, we present the case of a woman with a severe form of MSK associated with dRTA. She had extensive nephrocalcinosis and obstructive uropathy caused by a large upper ureteric stone in the left kidney. The stone was disintegrated by flexible ureteroscopic laser lithotripsy. Her initial biochemical derangements were identified and corrected with a Polycitra-K solution and hydrochlorothiazide, leading to reduced stone load and osteopenia 1 year later.<\/jats:p>","DOI":"10.4103\/1319-2442.390261","type":"journal-article","created":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T05:22:29Z","timestamp":1701062549000},"page":"828-832","source":"Crossref","is-referenced-by-count":0,"title":["Detailed Nephro-urological Management of a Case of Medullary Sponge Kidney with Distal Renal Tubular Acidosis and Obstructive Uropathy"],"prefix":"10.4103","volume":"33","author":[{"given":"Kamel","family":"El-Reshaid","sequence":"first","affiliation":[{"name":"Department of Medicine, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullatif","family":"Al-Terki","sequence":"additional","affiliation":[{"name":"Department of Surgery, Urology Unit, Amiri Hospital, Ministry of Health, Kuwait City, Kuwait"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaikha","family":"Al-Bader","sequence":"additional","affiliation":[{"name":"Department of Medicine, Nephrology Unit, Amiri Hospital, Ministry of Health, Kuwait City, Kuwait"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,11,29]]},"reference":[{"key":"R1-20231129","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1093\/ndt\/gfs505","article-title":"Medullary sponge kidney: State of the art","volume":"28","author":"Fabris","year":"2013","journal-title":"Nephrol Dial Transplant"},{"key":"R2-20231129","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.2215\/CJN.07551009","article-title":"Identification of GDNF gene sequence variations in patients with medullary sponge kidney disease","volume":"5","author":"Torregrossa","year":"2010","journal-title":"Clin J Am Soc Nephrol"},{"key":"R3-20231129","doi-asserted-by":"crossref","first-page":"1663","DOI":"10.2215\/CJN.00220110","article-title":"Long-term treatment with potassium citrate and renal stones in medullary sponge kidney","volume":"5","author":"Fabris","year":"2010","journal-title":"Clin J Am Soc Nephrol"},{"key":"R4-20231129","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/j.urology.2011.07.1414","article-title":"Nephrolithiasis in medullary sponge kidney: Evaluation of clinical and metabolic features","volume":"79","author":"McPhail","year":"2012","journal-title":"Urology"},{"key":"R5-20231129","first-page":"346","article-title":"Reperto pielografico poco comune (dilatazione delle vie urinary intrarenali). 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