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Nephrolithiasis in children

S S Yadav1, K K Sharma, M K Chhabra

  • 1Department of Urology, S.M.S. College and Hospital, Jaipur.

Indian Pediatrics
|October 1, 1993
PubMed
Summary
This summary is machine-generated.

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This study analyzed 100 pediatric nephrolithiasis cases, finding abdominal pain and urinary tract infections common. Struvite calculi and idiopathic hypercalciuria were significant factors in pediatric kidney stone disease.

Area of Science:

  • Pediatric Nephrology
  • Urology
  • Pediatric Surgery

Background:

  • Nephrolithiasis, or kidney stones, affects children, with varied presentations and underlying causes.
  • Understanding pediatric kidney stone demographics and risk factors is crucial for effective management.

Purpose of the Study:

  • To report findings from a cohort of 100 pediatric nephrolithiasis cases.
  • To identify common presenting symptoms, associated conditions, and stone compositions in children.

Main Methods:

  • Retrospective analysis of 100 pediatric patients (3-15 years) with nephrolithiasis.
  • Data collection included clinical presentation, imaging, stone analysis, and surgical outcomes.

Main Results:

  • Abdominal pain (69%) and burning micturition (23%) were prevalent symptoms.

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  • Proteus mirabilis infection (23%) and idiopathic hypercalciuria (31%) were common contributing factors.
  • Struvite calculi were present in 24 cases; 16 patients had urinary tract malformations.

    • Conclusions:

    • Pediatric nephrolithiasis presents with diverse symptoms and etiologies, including infection and metabolic disorders.
    • Surgical intervention for pediatric kidney stones requires careful monitoring for residual calculi and recurrence.