DefinePK

Abstract

Case Report


A twelve years old petite boy presented to the out-pa­tients with a 2 week history of abdominal pain associated with haematuria. Plain X-ray of the abdomen (Figure 1)revealed a 1.5 cm/O.5 cm left lower ureteric stone with three small 0.5 x 0.5 cm stones seen in the right renal pelvis. Intravenous program (IVU) showed moderate hydronephrosis. Metabolic work up carnedouton serum and urine did not reveal any cause for stone formation. Under general anaesthesia cystoscopy was performed and a Double J Stent (DJS) was placed in the left ureter (Figure 2).Patient was prescribed prophylactic antibiotics. Six weeks later, under G.A., DJS was removed and a 13.5F Paiez Castre Ureteroscope (Storz) was introduced into the left ureter with ease and the stone was retrieved. The patient made an uneventful recovery and was discharged home after 24 hours of hospital stay. Right renal stones were removed by pyeloli­thotomy at a later date. A follow- up plain X-ray of abdomen showed complete clearance of calculi (Figure 3).At eighteen months follow-up the child has remained well and stone free.