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.

中文翻译：

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来自加泰罗尼亚 Riner 中世纪早期遗址的一块尿石

客观的

本文介绍了公元 10 世纪成年男性盆腔中发现的钙化肿块的鉴别诊断。

材料

从与中世纪早期教堂 Riner（Solsonès，加泰罗尼亚）相关的墓地挖掘出的成年男性骨骼遗骸。

方法

通过 X 射线成像、显微立体显微镜和傅里叶变换红外光谱分析来检查质量的结构和组成。

结果

检查显示浅棕色肾形钙化，边缘清晰，低密度区不规则，有几个薄的同心层。获得的光谱显示在所有研究的截面中都是碳酸盐磷灰石（具有高水平的碳化）和方解石的混合物。

结论

钙化最有可能对应于感染性尿路结石。

意义

鉴于尿路结石可以为理解感染和环境条件的后果提供见解，希望启动比较分析的其他研究人员会对这个案例感兴趣。

限制

由于缺乏对某些元素（如鸟粪石）的保存，对石头病因的讨论受到限制。