Renal calculus at presentation in a child with Crohn's disease

Abstract

Genitourinary complications are relatively common in inflammatory bowel disease, with a reported incidence of 4-23%, although they more frequently occur in established disease. We present the case of a 12-year-old boy, already under investigation for short stature, who only developed florid symptoms of colitis after removal of a large staghorn calculus. In all cases of childhood nephrolithiasis, the possibility of underlying inflammatory bowel disease needs to be considered.

Recognition and treatment of genitourinary complications in paediatric Crohn’s disease using Infliximab

“…Three of five children developed complications following onset of Crohn’s disease, whereas 2/5 presented with urogenital symptoms prior to diagnosis of Crohn’s disease. Although it is generally believed that genito‐urinary complications are associated with long‐standing disease (3), 2/5 children in this case series presented with urogenital symptoms prior to diagnosis of Crohn’s disease. Importantly, all children in this series had or developed severe disease with time.…”

“…Paediatric reports regarding urogenital complications in inflammatory bowel disease are sparse. Previously a case of staghorn calculus in a child with active Crohn’s disease has been reported from our centre (3). Clark reported nephrolithiasis in six children with Inflammatory Bowel disease, usually presenting with symptoms when there was relapse of their disease (4).…”