Intestinal pseudo-obstruction following renal stone extracorporeal lithotripsy in a diabetic patient

A 61-year-old male patient was admitted because of fications are also detectable. chronic loin pain due to a kidney stone in the left renal pelvis. At 48 years of age type 2 diabetes mellitus was diagnosed and treated with oral anti-diabetic drugs for kidney without significant dilation of pelvis or caliceal 3 years and then by insulin. Peripheral vascular disease structures. Physical examination was unremarkable. was also reported. Two weeks before admission, the The patient’s body weight was 69 kg, body mass index patient experienced left loin pain with gross haemat- 26.0 kg/m2 and arterial blood pressure was uria. Sonography and plain radiography demonstrated 125/80 mmHg. Plasma biochemistry showed fasting a calcium stone in the left renal pelvis ( Figure 1). glucose levels of about 150 mg/dl, HbA 1c 8.2%, and Excretory urography confirmed the presence of a normal values for ALT, AST, pseudocholinesterase, 18 mm diameter calcium-containing stone in the left creatinine, electrolytes and coagulation tests.