Calculus (medicine) - Pathophysiology and Symptoms

Pathophysiology and Symptoms

Stones can cause disease by several mechanisms:

  • Irritation of nearby tissues, causing pain, swelling, and inflammation.
  • Obstruction of an opening or duct, interfering with normal flow and disrupting the function of the organ in question.
  • Predisposition to infection (often due to disruption of normal flow).

A number of important medical conditions are caused by stones:

  • Nephrolithiasis (kidney stones)
    • Can cause hydronephrosis (swollen kidneys) and renal failure
    • Can predispose to pyelonephritis (kidney infections)
    • Can progress to urolithiasis
  • Urolithiasis (urinary bladder stones)
    • Can progress to bladder outlet obstruction
  • Cholelithiasis (gallstones)
    • Can predispose to cholecystitis (gall bladder infections) and ascending cholangitis (biliary tree infection)
    • Can progress to choledocholithiasis (gallstones in the bile duct) and gallstone pancreatitis (inflammation of the pancreas)
  • Gastric calculi can cause colic, obstruction, torsion, and necrosis.

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