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September 12, 1966

Multiple Urinary Calculi Of 44 Years' Duration

JAMA. 1966;197(11):931. doi:10.1001/jama.1966.03110110155049

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To the Editor:—  A 64-year-old white woman gave a history of urinary calculi dating back to 1920 when at the age of 20 she had a bladder stone removed which was the size of a hen's egg. She had an appendectomy at the same time. In 1936 she had a stone removed from her right ureter.

Report of a Case:—  This patient has two children living and well. The first was born in 1923, three years after the removal of the bladder stone, the second two years later. From 1930 to 1942 she had five spontaneous abortions after one- to four-month periods of gestation. These may or may not have been related to her urinary pathology.On April 1, 1942, a nephrogram (Figure 1), taken with the ureteral catheters in place and with no dye injected, revealed huge bilateral staghorn calculi.For the next 24 years the patient got along