Silent But Giant: Giant ureteric calculus in a 7-year-old boy

Area of Science:

• Pediatric Urology
• Nephrolithiasis Management
• Surgical Case Reports

Background:

• Giant ureteric calculi are uncommon in pediatric populations.
• Painless hematuria can be a presenting symptom of urinary tract stones.

Purpose of the Study:

• To report a rare case of giant ureteric calculi in a child.
• To describe the diagnostic and surgical management of this condition.

Main Methods:

• Initial presentation with painless hematuria and left hydronephrosis on ultrasonography.
• Diagnosis confirmed by plain abdominal radiography revealing large left ureteric calculi (7cm and 4cm).
• Surgical intervention via open left ureterolithotomy and pyelolithotomy for stone extraction.

Main Results:

• Successful extraction of two large ureteric calculi measuring 7cm and 4cm.
• Resolution of left hydronephrosis post-operatively.
• The patient's condition was managed effectively through surgical intervention.

Conclusions:

• Giant ureteric calculi, though rare, require prompt diagnosis and surgical management in children.
• Open surgical techniques remain a viable option for managing large or complex ureteric stones in pediatric cases.
• This case underscores the importance of thorough investigation even in incidental findings.