A tale of 100 kidney stones

A 58-year old woman with a history of Crohn’s disease status post ileal resection and ileo-transverse colostomy and recurrent bilateral nephrolithiasis presented to the emergency department with nausea, vomiting, and right flank pain. She also reported frequent episodes of diarrhea. Two months ago, she underwent bilateral ureteral stent placement for an obstructing 6-mm stone in the left distal ureter and significant right stone burden. Physical...