AINU Successfully Treated Rare Case of Recurrent Renal Stones Caused by Parathyroid Adenoma
The patient had history of multiple renal stone surgeries in the past
By : DC Correspondent
Update: 2025-08-29 11:03 GMT
Hyderabad: Asian Institute of Nephrology and Urology, Dilsukhnagar,(AINU) successfully treated rare case of involving recurrent renal stones caused by a parathyroid adenoma, a tumor in the neck that results in overproduction of parathyroid hormone leading to high blood calcium levels(hypercalcemia) and kidney stone formation.
A 29 year female from Saroornagar, Hyderabad, was suffering from with bilateral loin pain, burning in urine and vomiting since one week, with impaired renal parameters. The patient had history of multiple renal stone surgeries in the past.
Speaking about the case, Dr. Subhash Chandra Bose Inturi, Consultant Urologist, AINU Dilsukhnagar said, “This is one of the rare and unique case. On evaluation, found to have bilateral, multiple renal stones obstructing the urinary outflow. Both kidney stones removed in a staged manner. During further evaluation her blood calcium levels and parathyroid harmone levels are high. Parathyroid scintigraphy and spect CT,(a special scan to identify parathyroid tumors,) the tumor identified in the left parathyroid gland, in the neck ,which was the culprit for all the issues and the tumor was removed surgically. She recovered well.”
Parathyroid glands present in the neck, is primarily responsible for regulating body calcium levels. A tumor in the gland causes abnormal rise in blood calcium and urinary calcium levels. This excess calcium in urine got deposited in kidneys causing recurrent, bilateral and multiple renal stones. Unless the main culprit tumor is addressed and removed, patients continues to suffer from recurrent stones”.
Dr. Subhash Chandra Bose Inturi further said, “if someone having recurrent stone former, not just removal of the stones cures the disease, but need to undergo METABOLIC EVALUATION, i.e a few urine and blood tests to identify the actual root cause of the problem. Recurrent kidney stones should prompt evaluation to identify the underlying cause.”
Speaking about the procedure, Dr. Srinivasa Narayanam, Senior Consultant Urologist, HOD Urology, AINU Dilsukhnagar said, “Patients are to be made aware that mere stone removal is not enough and they need to undergo special investigations more so in patients with recurrent kidney stones, bilateral stone and stone in children so as to identify and treat conditions that cause recurrent stones.”
Apart from this, intake of sufficient amount water about 2.5 – 3 lit per day, adding citrus fruits to the diet which contain citrate , helpful in preventing stone formation, avoiding high salt intake, high animal protein, maintaining healthy body weight, avoiding excess chocolates, especially in kids, all help to prevent kidney stone formation or recurrece of kidney stone.