Experience with Childhood Urolithiasis

Başaklar, A. Can; Kale, Nuri

doi:10.1111/j.1464-410x.1991.tb15110.x

Cited by 79 publications

(54 citation statements)

References 14 publications

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“…El 20% de los casos de litiasis ureteral en niños es de escolares y lactantes. Predomina el sexo masculino con una relación de 1:4 10 . La litotripsia extracorpórea de ondas de choque (LEOCH) es eficaz en el tratamiento de la litiasis pieloureteral.…”

Section: Discussionunclassified

Litotripsia extracorpórea por ondas de choque en niños. A propósito de un caso complicado

Alvarado-García¹,

Mundo-Alegría²

2014

Acta Pediatr Mex

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Este artículo debe citarse como: Alvarado-García R, Mundo-Alegría AX. Litotripsia extracorpórea por ondas de choque en niños. A propó-sito de un caso complicado. Acta Pediatr Mex 2010;31(3):95-101. www.nietoeditores.com.mx RESUMENLa litotripsia extracorpórea es un procedimiento eficaz en el tratamiento de litiasis renal y ureteral. En pediatría ha adquirido gran aceptación por la facilidad del procedimiento, mayor disponibilidad de litotriptores y acortamiento de la estancia hospitalaria. Sin embargo, las complicaciones que puede desarrollar el paciente pediátrico pueden variar desde las sintomáticas (dolor) hasta las que comprometen la función renal. Presentamos el caso de una adolescente de 15 años de edad con litiasis renal bilateral que fue sometida a una sesión de litotripsia extracorpórea. Esta intervención causó un hematoma renal izquierdo, que se visualizó con ultrasonido y tomografía computada renal. Se trató en forma conservadora y el hematoma desapareció 13 semanas después. Cuatro semanas después la paciente desarrolló hipertensión arterial sistémica; hubo disminución de la tasa de filtración glomerular en el riñón ipsilateral que cedieron posteriormente. La litotripsia extracorpórea en pediatría es eficaz para el tratamiento de litiasis renal y ureteral. Es un procedimiento sencillo y rápido. El desarrollo de un hematoma renal es una complicación infrecuente, menor al 1%. La monitorización y el seguimiento clínico del paciente permiten identificarla y tratarla oportunamente. Palabras clave: Litotripsia, litiasis, hematoma renal, hipertensión arterial. ABSTRACTExtracorporeal shock wave lithotripsy is an effective procedure for the treatment of renal and ureteral lithiasis. In pediatrics has become widely accepted by the facility of the procedure, availability of lithotripters and faster discharge from hospital. However, complications in pediatric patients can vary from symptomatic (pain) to a compromise renal function. We present a case of a 15 year old female adolescent with bilateral renal lithiasis which underwent for extracorporeal shock wave lithotripsy session which was complicated by a left renal hematoma, confirmed by renal ultrasonography and computerized tomography scan. Conservative management was established and the hematoma became stabilized. The patient developed hypertension and glomerular filtration rate was decreased on the ipsilateral kidney four weeks after the procedure which had spontaneous resolution. Pediatric extracorporeal shock wave lithotripsy is an effective procedure for the treatment of renal and ureteral calculi; its advantages are easiness, speed and accessibility. A renal hematoma as a complication occurs in less than 1%. Patient monitoring and follow-up identified timely this complication.

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Section: Discussionunclassified

Litotripsia extracorpórea por ondas de choque en niños. A propósito de un caso complicado

Alvarado-García¹,

Mundo-Alegría²

2014

Acta Pediatr Mex

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“…11,16 Idiopathic hypercalciuria has been identified as the most frequent metabolic risk factor, detected in 40% to 69% of the cases. 17,19 A positive family history seems to be the most important isolated risk factor. 20 A large number of genes have been suggested as responsible for the pathogenesis of hipercalciúria.…”

Section: Discussionmentioning

confidence: 99%

Nefrolitíase em pacientes pediátricos: investigação metabólica e anatômica

Peres¹,

Langer²,

Schmidt³

et al. 2011

J. Bras. Nefrol.

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Metabolic disorders are frequently observed in pediatric patients with renal lithiasis. Objectives: Study the metabolic and anatomical alterations and perform the chemical analysis of stones found in children with nephrolithiasis in our region. Methods: A retrospective study on 158 children with evidence of recent renal stone formation was performed. One hundred and nine children concluded the metabolic study. Laboratory investigation consisted in two samples of 24-hour urine for calcium, uric acid, citrate, oxalate, sodium and creatinine; qualitative cystinuria, urinary pH following 12-hour fasting and water restriction, urine culture and chemical analysis when the stones were available. Renal imaging techniques included, at least, renal ultrasound and excretory urogram. Results: A cause for nephrolithiasis was identified in 96.3% of children. The main metabolic alteration was hypercalciuria (73.4%). Chemical analysis of stones showed calcium oxalate in 90.9% of the cases. Anatomical alterations were found in 18.0% of the investigated cases and the most frequently found alteration was pyelo-ureteral duplication (28.6%). Conclusions: Hypercalciuria was the most frequently found disorder and pyelo-ureteral duplication was the most common anatomical alteration; moreover, calcium oxalate was the most frequent chemical constituent. The present study showed the characteristics of pediatric patients with nephrolithiasis in our region.

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“…Besides chronic infection, metabolic disorders and urinary stasis, other conditions can represent a risk factor for stone development [8]; for instance, dietary habits and drinking water intake, as well as water composition, may play a role in the induction or development of urinary calculi. Metabolic abnormalities and infectious stones prevail in most series [9]. South Sinai lies in the hyperarid zone in North African belt with high summer temperature, low humidity and long rainless periods.…”

Section: Discussionmentioning

confidence: 99%

Screening of Urinary Crystals among Egyptian Children in South Sinai

2013

Maced J Med Sci

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Objective: To evaluate prevalence of urinary crystals among Egyptian children in selected 6 localities of South Sinai. Subject and Methods:It is a cross sectional, observational study, included 1918 children from six localities of South Sinai. History of any previous renal problems was taken and urine samples were collected from all patients to search for the presence of any type of crystals.Results: Prevalence of urinary crystals was found to be 28.99 %. The most frequent urinary crystals were oxalate (15.64 %). Oxalate crystals were the highest in EI-Tur, Uric acid crystals were the highest in Abo Redeis, Triple phosphate crystals were the highest in Saint Katrin. Uric acid crystals were significantly higher in children of bedouin area and in children with positive consanguinity.Conclusion: high prevalence of urinary crystals (which predispose to stone formation) among children in South Sinai. City was the most frequent risk factor for the three crystals and oxalate crystals were the most common crystal followed by uric acid.

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Experience with Childhood Urolithiasis

Cited by 79 publications

References 14 publications

Litotripsia extracorpórea por ondas de choque en niños. A propósito de un caso complicado

Litotripsia extracorpórea por ondas de choque en niños. A propósito de un caso complicado

Nefrolitíase em pacientes pediátricos: investigação metabólica e anatômica

Screening of Urinary Crystals among Egyptian Children in South Sinai

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