Medullary sponge kidney and ulcerative colitis in the same patient: an extremely rare combination

A 20-year-old woman presented to our department in 2000. She gave a history of bloody diarrhoea, fatigue and dizziness during the previous two months. Physical examination was unremarkable. However, colonoscopy showed rectal inflammation of moderate degree. Histology confirmed the diagnosis of ulcerative proctitis. The complete blood picture was normal as were the results of liver and renal function tests. Stool examination was negative for ova, parasites and other pathogenic microbes. Urine examination was normal. The patient responded well to topical and peros treatment with mesalazine. During the three years of follow-up she developed three exacerbations of the disease of moderate severity. During the last year she has been under SUMMARY