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A urinary stone from the early medieval site of Riner, Catalonia. | LitMetric
Objective : This paper presents the differential diagnosis of a calcified mass found in the pelvic cavity of an adult male dating to the 10th century AD.Materials : Skeletal remains of an adult male exhumed from the cemetery associated with the early medieval church of Riner (Solsonès, Catalonia).Methods : The structure and composition of the mass were examined by x-ray imaging, microscopic stereoscopy and Fourier transform infrared spectrometry analysis.Results : The examination reveals a light brown kidney-shaped calcification with well-defined margins, irregular hypodense zones, and several thin concentric layers. The obtained spectra showed a mixture of carbonate apatite (with a high level of carbonation) and calcite in all the sections studied.Conclusion : The calcification most likely corresponds to a urinary calculus of infectious origin.Significance : Given the insights that urinary calculi can provide towards understanding consequences of infection and environmental conditions, this case will be of interest to other researchers wishing to initiate comparative analyses.Limitations : The discussion of the etiology of the stone is limited by the lack of preservation of certain elements such as struvite.
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