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Chronic, Gross Hematuria Caused by Idiopathic Ureteric Stricture

Robert L Myette1, Amy Acker2

  • 1Department of Pediatrics, Queen's University at Kingston Health Science Centre, Kingston, Ontario, Canada robert.myette@queensu.ca.

Pediatrics
|November 17, 2019
PubMed

Insights

A 10-year-old boy experienced 5 years of chronic hematuria (blood in urine), leading to anemia and distress. An idiopathic ureteric stricture was diagnosed and treated with stenting, resolving the hematuria and improving his well-being.

Area of Science:

  • Pediatric Urology
  • Nephrology
  • Medical Diagnostics

Background:

  • Chronic gross hematuria in children can be challenging to diagnose.
  • Prolonged diagnostic workups can cause significant psychosocial distress.
  • Differential diagnoses included nutcracker phenomenon.

Observation:

  • A 10-year-old boy presented with 5 years of daily gross hematuria.
  • Extensive workup, including renal biopsy, was inconclusive.
  • Severe iron deficiency anemia and psychosocial distress were noted.

Findings:

  • Idiopathic unilateral ureteric stricture was identified upon closer ureteral inspection.
  • Eight weeks of ureteral stenting led to complete resolution of hematuria.

Implications:

  • Ureteric strictures should be considered in the differential diagnosis of chronic pediatric hematuria.
  • Timely diagnosis and treatment of urological conditions can alleviate patient distress.
  • Successful stenting offers a minimally invasive treatment option for ureteric strictures.

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