Bladder calculus formation and urinary retention secondary to perforation of a normal bladder by a

Louis Eichel1, Rafael Allende, Robert A Mevorach

  • 1Department of Urology, University of Rochester Medical Center, Rochester, New York 14642, USA.

Urology
|July 26, 2002
PubMed

Insights

Pediatric urinary retention is rare. A ventriculoperitoneal shunt eroded through the bladder wall, causing a bladder stone in this unusual case.

Area of Science:

  • Pediatric Urology
  • Neurosurgery
  • Medical Device Complications

Background:

  • Urinary retention in children is uncommon.
  • Bladder calculus (stone) formation is a rare cause of urinary retention in pediatric patients.
  • Ventriculoperitoneal shunts are used to treat hydrocephalus.

Observation:

  • This case report details an unusual pediatric case.
  • A ventriculoperitoneal shunt eroded through a normal bladder wall.
  • This erosion led to the formation of a bladder calculus.

Findings:

  • The primary finding is the rare occurrence of bladder stone formation secondary to ventriculoperitoneal shunt erosion in a child.
  • This sequence highlights an atypical complication of shunting procedures.
  • Literature review on similar pediatric cases is included.

Implications:

  • This case expands the understanding of potential complications associated with ventriculoperitoneal shunts in pediatric patients.
  • It underscores the importance of considering unusual etiologies for urinary retention in children with shunts.
  • Highlights the need for vigilance in monitoring shunt integrity and potential bladder interactions.

Related Concept Videos

Urinary Bladder01:23

Urinary Bladder

The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
4.7K
Disorders of the Urinary System01:20

Disorders of the Urinary System

The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
2.2K
Urinary Tract Calculi I: Introduction01:28

Urinary Tract Calculi I: Introduction

Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
1.1K
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
860
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
494
Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
4.7K