• Urolithiasis – a chronic and recurrent disease in a girl with multiple congenital anomalies and cerebral palsy– case report
To content Full text of article

Urolithiasis – a chronic and recurrent disease in a girl with multiple congenital anomalies and cerebral palsy– case report

Paediatric surgery.Ukraine.2019.3(64):37-41; doi 10.15574/PS.2019.64.37

E. Wajszczuk1, M. Szymanek-Szwed1, J. Samotyjek1, K. Jobs2, B. Jurkiewicz1
1Centre of Postgraduate Medical Education, Dziekanow, Warsaw, Poland
2Military Medical Institute, Warsaw, Poland

For citation: Wajszczuk E, Szymanek-Szwed M, Samotyjek J, Jobs K et al. (2019). Urolithiasis – a chronic and recurrent disease in a girl with multiple congenital anomalies and cerebral palsy: case report. Paediatric surgery.Ukraine. 3(64): 37-41. doi 10.15574/PS.2019.64.37
Article received: Feb 02, 2019. Accepted for publication: Jun 24, 2019.

Urolithiasis is a disease unit more common in adult patients. However in the pediatric population it is also an important clinical problem due to high risk of recurrence in the patient’s life among others. Hyperkalciuria, hyperuricemia, hyperoxaluria and cystinuria secondary to metabolic disorders promote stone formation.
The aim of this study is the presentation of a case of a girl with multiple congenital anomalies, bilateral staghorn urolithiasis and bladder stones developing in the course of hypercalcemia. The patient was diagnosed with urolithiasis at the age of 2 months. The course of the disease in her case is characterized by extremely frequent recurrences and numerous urinary tract infections of various aetiology, including high-resistant bacterial strains. These infections were often turbulent and required hospitalization. Due to the extent of urolithiasis, invasive treatment was necessary, both in the lower and upper urinary tract. Endoscopic techniques (transurethral cystolithotrypsy and ureterorenoscopy) were used in urinary bladder and ureter urolithiasis. Renal deposits were removed by the use of open access surgery (pyelolithotomy with intrarenal lithotrypsy). Although the ongoing development technology and miniaturization of equipment have allowed and popularized minimally invasive treatment of urolithiasis, some exceptional cases still require surgical treatment with open surgery.
The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee (LEC) of all institutions.
No conflict of interest was declared by the authors.
Key words: urolithiasis, children, recurrence, surgical treatment.

REFERENCES

1. Lewandowska M., Sybilski AJ. (2013). History of urolithiasis therapy. Prob. Lek. 49(1/2): 88-90. https://doi.org/10.2307/41936509

2. Sas DJ, Hulsey TC, Shatat IF, Orak JK. (2010, Jul). Increasing incidence of kidney stones in children evaluated in the emergency department. J Pediatr. 157(1): 132-7. https://doi.org/10.1016/j.jpeds.2010.02.004; PMid:20362300. Epub 2010 Apr 1.

3. Chen JN, Dieguez LM, Trachtman H. (2014). The Changing Epidemiology of Urolithiasis in Pediatric Patients. J Nephrol Therapeutic. S11: S11-006. https://doi.org/10.4172/2161-0959.S11-006

4. Van Dervoort K et al. (2007). Urolithiasis in Pediatric Patients: A Single Center Study of Incidence, Clinical Presentation and Outcome. J Urol. 177(6): 2300-2305. https://doi.org/10.1016/j.juro.2007.02.002; PMid:17509344

5. Turk C (Chair), Knoll T (Vice-chair), Petrik A, Sarica K, Skolarikos A, Straub M, Seitz C. (2015). Guidelines on urolithiasis, EAU.

6. Jung A. (1995). Urolithiasis threat, prevention and treatment of urinary stones in children, Agama s.c., Warszawa.

7. Gadoska-Prokop K. (2007). Leczenie zachowawcze kamicy układu moczowego. Przegląd Urologiczny. 2007/3(43).

8. Penido MG, Tavares Mde S. (2015, Sep 6). Pediatric primary urolithiasis: Symptoms, medical management and prevention strategies. World J Nephrol. 4(4): 444-54. https://doi.org/10.5527/wjn.v4.i4.444; PMid:26380196 PMCid:PMC4561842.

9. Koyuncu H, Yencilek F, Erurhan S, Erydylirim B, Sarica K. (2011). Clinical course of pediatric urolithiasis: follow up data in a long term basis Int. Urol. Nephrol. 43: 7–13. https://doi.org/10.1007/s11255-010-9791-y; PMid:20563844

10. Bras J. (2016, Jan./Mar). Jornal Brasileiro de Nefrologia. 38, 1. https://doi.org/10.5935/0101-2800.20160014; PMid:27049370

11. Horuz R., Sarica K. (2012, Sep 10). The managment of staghorn calculi in children. Arab J Urol: 330-335. https://doi.org/10.1016/j.aju.2012.03.005; PMid:26558045 PMCid:PMC4442932

12. Zargooshi J. (2001). Open stone surgery in children. Is it justified in the era of minimally invasive therapies? BJU Int. 88: 928–31. https://doi.org/10.1046/j.1464-4096.2001.01544.x; PMid:11851615

13. Jurkiewicz B., Ząbkowski T., Jobs K., Samotyjek J., Jung A. (2016, Apr 16). Combined Use of Pyelolithotomy and Endoscopy: An Alternative Surgical Treatment for Staghorn Urolithiasis in Children. Urol J. 13(2): 2599-604.