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Urolithiasis pp 317-318 | Cite as

Factitious Struvite Stones — A Case Report

  • R. A. L. Sutton
  • J. F. Dufton
  • A. Halabe

Abstract

The patient to be described is a 30-year-old female hospital employee who had a three-year history of repeated hospital admissions with renal colic, hematuria, and apparent passage of 2–3 mm stones, analyzed as struvite. She had received numerous courses of intramuscular narcotics. Apart from tiny calcifications in the right kidney which were present at the time of the first attack, all subsequent x-ray and ultrasound examinations of the kidneys were negative. Metabolic investigations for causes of stones were negative and urine cultures were sterile. Because of the discrepancy between the apparent symptoms and the negative laboratory tests, the possibility of factitious disease was suspected. A search of the patient’s belongings yielded evidence that the ‘hematuria’ was being feigned, together with a plentiful supply of apparent renal calculi, analyzed as struvite plus calcium carbonate. Confronted with the evidence, the patient appeared somewhat relieved, and indicated the stones were of feline origin, collected from local veterinarians on the pretext of conducting research on cat stones. The motives for this subterfuge proved to be complex, but the patient has remained free of ‘recurrence’.

Keywords

Renal Colic Urethral Obstruction Bladder Calculus Plentiful Supply Veterinary Record 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    AC Osborne, JD Polzin, US Abdullahi, RJ Leininger, WC Clinton, and PD Griffith, Adv. in Veterinary Sci. and Comp. Med. 29: 2 (1985).Google Scholar
  2. 2.
    FA Kalfelz, JD Bressett, and RJ Wallace, Feline Practice 10: 25 (1980).Google Scholar
  3. 3.
    BM Feldman, BM Kennedy, and M Schelstraete, Feline Practice 7: 39 (1977).Google Scholar
  4. 4.
    MF Tarttelin, Veterinary Record 121: 227 (1987).PubMedCrossRefGoogle Scholar
  5. 5.
    MF Tarttelin, Veterinary Record 121: 245 (1987).PubMedCrossRefGoogle Scholar
  6. 6.
    CA Buffington, QR Rodgers, JG Morris, and NE Cook, Feline Practice 15: 29 (1985).Google Scholar

Copyright information

© Springer Science+Business Media New York 1989

Authors and Affiliations

  • R. A. L. Sutton
    • 1
  • J. F. Dufton
    • 1
  • A. Halabe
    • 1
  1. 1.Department of MedicineUniversity of British ColumbiaVancouverCanada

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