0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Brief Communications |

Milk-of-Calcium Renal Stone in Primary Hyperparathyroidism

GEORGE S. HARELL, M.D.
[+] Article and Author Information

Palo Alto, California


Ann Intern Med. 1969;70(3):577-580. doi:10.7326/0003-4819-70-3-577
Text Size: A A A
SUMMARY:

A woman with a roentgenographic opacity in the right kidney shown to be milk-of-calcium renal stone was diagnosed as having primary hyperparathyroidism, confirmed by surgical removal of a chief-cell adenoma.

Milk-of-calcium renal stone is a suspension of calcium salts layered at the bottom of a renal calyceal diverticulum or a cyst. The pathognomonic sign distinguishing it from a true renal calculus is the fluid level seen on the upright or decubitus films. Awareness of this rare entity may spare the patient nephrolithotomy since percutaneous aspiration may be sufficient therapy. The cause of renal milk-of-calcium is unknown. No previous reports have noted an association between it and primary hyperparathyroidism.

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Related Point of Care
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)