Evaluation of pediatric nephrolithiasis

Kokorowski, Paul; Hubert, Katherine C.; Nelson, Caleb P.

doi:10.4103/0970-1591.74453

Cited by 26 publications

(11 citation statements)

References 46 publications

(69 reference statements)

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“…Urolithiasis in the pediatric population is an important cause of morbidity worldwide [1,2,3,4]. Presenting signs and symptoms are often considerably different from those in adults.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, its early diagnosis is mandatory for every child with the first stone event. Vague abdominal pain, hematuria, and urinary tract infection are more common in children than the classic colicky flank pain [1]. It has become more common in children over the past few decades as a result of rapid variations in food habits and increasing affluence.…”

Section: Discussionmentioning

confidence: 99%

“…Incidence of renal and bladder stones is increasing worldwide and especially many children presenting with pain abdomen are diagnosed to have renal calculi (1,2). The changing dietary habits and increasing prevalence of obesity is a major risk factor in children.…”

Section: Introductionmentioning

confidence: 99%

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Clinical profile of urolithiasis among hospitalized children- a single center study

Rajma¹,

Arun²,

Ganesapillai³

2017

Int J Pediatr Res

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Introduction: Incidence of renal and bladder stones is increasing worldwide and many children presenting with pain abdomen are diagnosed to have renal calculi. There is high rate of recurrence of stones in children if full clearance is not achieved or metabolic evaluation is not performed. We analyzed the clinical profile of the children diagnosed to have Urolithiasis and admitted in pediatric ward of our institute over the period of 2 years (Jan 2015 to Dec 2016) Methods: We conducted an Observational study done in Children <15 years diagnosed to have Urolithiasis based on Ultrasound findings and admitted in pediatric ward of Velammal medical college hospital, Madurai, Tamilnadu between January 2015 to December 2016. A total of 30 children were enrolled in this study and their demographic details, clinical presentation, investigations and management were analyzed. Results: Pediatric urolithiasis was more common in boys (75%) with colicky pain abdomen (90%) as the predominant presenting symptom. Most of the children presented during the summer months. They had associated complications like urinary tract infection, hydronephrosis and Pelviureteric junction obstruction. Ureter was the commonest site of urolithiasis (18/30) and most of the children responded to medical management. The children who presented with recurrent symptoms during this study period were evaluated and diagnosed to have some underlying metabolic or genetic disorder. Conclusion: Rising incidence of renal stones with acute colicky pain in pediatric age group is a worrisome problem as it causes school absenteeism and mental stress to the entire family. Urolithiasis in children needs complete evaluation to rule out underlying metabolic disorder. Complete evaluation of the underlying etiology is essential to prevent recurrence and further complications.

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“…Urolithiasis in the pediatric population is an important cause of morbidity worldwide [1,2,3,4]. Presenting signs and symptoms are often considerably different from those in adults.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical profile of urolithiasis among hospitalized children- a single center study

Rajma¹,

Arun²,

Ganesapillai³

2017

Int J Pediatr Res

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“…Pediatric urolithiasis remains endemic in low-resource countries affecting children <1 to 15 years [1]. Urolithiasis in children should not be underestimated because of associated significant morbidity and higher recurrence rate as compared to adults [2]. This study aimed to present our diagnostic and treatment options for pediatric urolithiasis.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Urolithiasis in Children: Diagnosis and Management

Maalej¹,

Louati²,

Abid³

et al. 2017

Med Surg Urol

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Introduction: Pediatric urolithiasis remains endemic in low-resource countries affecting children <1 to 15 years. This study aimed to investigate the diagnosis and the treatment options of pediatric urolithiasis and compare that with the literature. Materials and methods: This study retrospectively evaluated patients who had been diagnosed with urolithiasis in the in department of pediatric emergency and reanimation and the department of pediatric surgery in Hedi Chaker hospital in Sfax between 2001 and 2016. Results: Over 16 years period, we diagnosed and managed 78 children with urolithiasis. 44 were male (56%) and 34 were female (44%). The median age was 54 months (4 to 144 months). Family history of urolithiasis was found in 23 patients (29.5%). The diagnosis of urolithiasis was made after Urinary tract infection in 23 (29.5%), abdominal pain in 16 (20.5%), Hematuria in 9 (11.5%), nephritic colic in 8 (10.5%), dysuria in 11(14%) and after antenatal diagnosis of malformative uropathies in 11 (14%) patients. The treatment were surgery in 32, medical in 30, LEC and endoscopy in 8 patients. The mean of follow up was 36 months and we had 11 recurrent urolithiasis. Conclusion: Pediatric urolithiasis remains a devastating health problem. Their management requires more exploration especially in the etiology research for a best management.

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“…Renal stone in children should not be underestimated because of associated significant morbidity and higher recurrence rate as compared to adults (2). …”

Section: Introductionmentioning

confidence: 99%

What do we know about pediatric renal microlithiasis?

Fallahzadeh

Hassanzadeh

2016

J Renal Inj Prev

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Renal or calyceal microlithiasis is a common disorder with increasing prevalence especially in infants and younger children. The main presenting symptoms and the underlying metabolic abnormalities of renal microlithiasis are similar to renal stone. Although renal microlithiasis is considered as a main problem of the health system with diverse etiologies, our information about its natural course is very limited. Hence, further investigations to make an appropriate clinical approach to this entity is mandatory. Also, general practitioners, pediatricians, nephrologists and urologists have to be well educated regarding renal microlithiasis for early diagnosis, appropriate evaluation and proper management of this entity. In this review study, we focused on collection of the present information about different aspects of renal microlithiasis in children

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Evaluation of pediatric nephrolithiasis

Cited by 26 publications

References 46 publications

Clinical profile of urolithiasis among hospitalized children- a single center study

Clinical profile of urolithiasis among hospitalized children- a single center study

Pediatric Urolithiasis in Children: Diagnosis and Management

What do we know about pediatric renal microlithiasis?

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