<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852022000300008</article-id>
<article-id pub-id-type="doi">10.48193/revistamexicanadeurologa.v82i3.810</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Litiasis ureteral bilateral en un paciente con hiperparatiroidismo primario]]></article-title>
<article-title xml:lang="en"><![CDATA[Bilateral ureteral lithiasis in a patient with primary hyperparathyroidism]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Campos-Márquez]]></surname>
<given-names><![CDATA[Guillermo Patricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Téllez-Arce]]></surname>
<given-names><![CDATA[Gilberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Rivera]]></surname>
<given-names><![CDATA[José Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-González]]></surname>
<given-names><![CDATA[Edgar Alonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabeza-Bucio]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Farias-Cortés]]></surname>
<given-names><![CDATA[Juan Diego]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaría de Salud Hospital General de Occidente ]]></institution>
<addr-line><![CDATA[ Jalisco]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>82</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852022000300008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852022000300008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852022000300008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Descripción del caso clínico: Femenino de 62 años acude a nuestra unidad con cuadro de dolor opresivo en zona lumbar bilateral. Se diagnostica litiasis ureteral bilateral que condiciona hidronefrosis severa bilateral y se decidió derivar la vía urinaria para posteriormente realizar un tratamiento definitivo. Debido a los hallazgos en los estudios de laboratorio y gabinete se diagnosticó hiperparatiroidismo primario como el causante de la litiasis ureteral bilateral.  Relevancia: La presencia de cálculos indica la necesidad de paratiroidectomía en pacientes con diagnóstico de hiperparatiroidismo primario con hipercalcemia o normocalcemia, a menos que existan contraindicaciones. Los pacientes con nefrolitiasis deben explorar estrategias para prevenir la aparición de cálculos incluso después de realizar paratiroidectomía.  Implicaciones clínicas: Las consecuencias más comunes de la secreción excesiva de hormona paratiroidea son la hipercalciuria y los cálculos renales. Se llegan a presentar en el 8-20% de los pacientes con hiperparatiroidismo primario y son la complicación más común de la enfermedad. Pueden ser silenciosos en el 7-11% y bilaterales en el 16.4% de los pacientes. Es muy importante lograr identificar a pacientes con esta enfermedad para evitar múltiples complicaciones.  Conclusiones: Pacientes con hiperparatiroidismo primario tienen un alto riesgo de desarrollar complicaciones renales. Tenemos que analizar todos los factores que nos hicieran sospechar en un hiperparatiroidismo primario en pacientes que debutan con cálculos renales o ureterales y así lograr evitar la recurrencia de estos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Description of the clinical case: A 62-year-old female comes to our unit with oppressive pain in the bilateral lumbar area. Bilateral ureteral lithiasis was diagnosed those conditions severe bilateral hydronephrosis and it was decided to divert the urinary tract to later perform a definitive treatment. Due to the findings in the laboratory and cabinet studies, primary hyperparathyroidism was diagnosed as the cause of the bilateral ureteral lithiasis.  Relevance: The presence of stones indicates the need for parathyroidectomy in patients diagnosed with primary hyperparathyroidism with hypercalcemia or normocalcemia unless there are contraindications. Patients with nephrolithiasis should explore strategies to prevent stone formation even after parathyroidectomy.  Clinical implications: The most common consequences of excessive parathyroid hormone secretion are hypercalciuria and kidney stones. They occur in 8-20% of patients with primary hyperparathyroidism and are the most common complication of the disease. They can be silent in 7-11% and bilateral in 16.4% of patients. It is very important to be able to identify patients with this disease to avoid multiple complications.  Conclusions: Patients with primary hyperparathyroidism have a high risk of developing kidney complications. We must analyze all the factors that made us suspect in a primary hyperparathyroidism in patients who debut with renal or ureteral stones and thus avoid the recurrence of the same.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Ureteral Lithiasis]]></kwd>
<kwd lng="en"><![CDATA[primary hyperparathyroidism]]></kwd>
<kwd lng="en"><![CDATA[hypercalcemia]]></kwd>
<kwd lng="es"><![CDATA[Litiasis ureteral]]></kwd>
<kwd lng="es"><![CDATA[hiperparatiroidismo primario]]></kwd>
<kwd lng="es"><![CDATA[hipercalcemia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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