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In Vivo, Percutaneous, Needle Based, Optical Coherence Tomography of Renal Masses
09:31

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Published on: March 30, 2015

The radiology of renal stones in children

E Breatnach, S E Smith

    Clinical Radiology
    |January 1, 1983
    PubMed

    Insights

    Urinary stones in children are most common in boys during their first year, often linked to infection. Early detection with repeat imaging after fluid intake is crucial for identifying all stones.

    Area of Science:

    • Pediatric Nephrology
    • Urology
    • Pediatric Radiology

    Background:

    • Urinary stones (urolithiasis) affect children, with varied presentations and underlying causes.
    • Understanding the epidemiology and diagnostic challenges in pediatric urolithiasis is essential.

    Purpose of the Study:

    • To review the clinical characteristics and diagnostic findings of urinary stones in a pediatric cohort.
    • To emphasize optimal imaging techniques for detecting pediatric urinary stones.

    Main Methods:

    • Retrospective review of 50 children diagnosed with urinary stones.
    • Analysis of patient demographics, presenting symptoms, associated conditions, and imaging findings.

    Main Results:

    • Urinary stones predominantly affected boys, with a peak incidence in the first year of life.
    • Urinary tract infections were present in 80% of cases; hematuria was the presenting symptom in over 25%.
    • Congenital metabolic disorders were uncommon, but primary non-refluxing wide ureter was noted in 10%.

    Conclusions:

    • Pediatric urinary stones have distinct epidemiological features compared to adults.
    • Effective stone detection requires repeat imaging after contrast administration to visualize all calculi.
    • Identifying associated conditions like urinary infections and ureteral anomalies is important for management.

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