Introduction:
Ankylosing spondylitis (AS) is a seronegative inflammatory disease that
progressively affects the spine and sacroiliac joints. These patients
often present with co-existing issues like bilateral hip replacements,
nephrolithiasis, skin lesions, peripheral vascular disease and coronary
artery disease. (1–5) It is, however, rare to find all of these in one
single patient. We describe a patient with ankylosing spondylitis with
bilateral hip replacements in the past who was waiting for an elective
coronary artery bypass grafting (CABG) but needed urgent admission with
renal colic and unstable angina. Synchronous CABG and ureteric stone
retrieval along with DJ stent was successfully carried out in this
patient with ankylosing spondylitis.