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January 22, 1968

Vesical Calculi and Hyperparathyroidism

Author Affiliations

Rochester, Minn

JAMA. 1968;203(4):303-304. doi:10.1001/jama.1968.03140040055019

To the Editor:—  The overwhelming majority of vesical calculi in the United States are associated with obstructive or neurologic diseases of the lower urinary tract. Although these conditions are the commonly accepted causes of bladder stones,1 occasionally hyperparathyroidism is an associated etiologic factor. The first such case was reported by Albright and associates2 in 1934 in one of the original descriptive articles of hyperparathyroidism. Nine cases have been reported altogether.3, 4 In all the presence of a commonly accepted cause for vesical calculi other than hyperparathyroidism was recognized but in three instances the bladder stones were the only manifestation of calculous disease of the urinary tract.We have recently encountered another case of vesical calculi and hyperparathyroidism in a patient who also had prostatic obstruction. This case is reported to emphasize the occasional association of bladder stones and parathyroid adenomas.

Report of a Case:—  A 67-year-old man