Calculus (medicine) - Etiology

Etiology

  • From an underlying abnormal excess of the mineral, e.g. with elevated levels of calcium (hypercalcaemia) that may cause kidney stones, dietary factors for gallstones.
  • Local conditions at the site in question that promote their formation, e.g. local bacteria action (in kidney stones) or slower fluid flow rates, a possible explanation of the majority of salivary duct calculus occurring in the submandibular salivary gland.
  • Enteroliths are a type of calculus found in the intestines of animals (mostly ruminants) and humans, and may be composed of inorganic or organic constituents.
  • Bezoars are lumps of indigestible material in the stomach and/or intestines; most commonly, they consist of hair (in which case they are also known as hairballs). A bezoar may form the nidus of an enterolith.

In kidney stones, calcium oxalate is the most common mineral type (see Nephrolithiasis). Uric acid is the second-most common mineral type, but an in vitro study showed uric acid stones and crystals can promote the formation of calcium oxalate stones.

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