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[Extracorporeal shock wave lithotripsy in an 8-month-old infant]
K Tomonaga1, S Nakamura, S Moriya
1Department of Pediatrics, School of Medicine, Sagamidai Hospital, Kanagawa, Japan.
Insights
This study reports a successful treatment of bilateral renal staghorn calculus in an infant using extracorporeal shock wave lithotripsy (ESWL). The minimally invasive procedure resolved kidney stones without complications in a pediatric patient.
Area of Science:
- Pediatric Nephrology
- Urology
- Medical Imaging
Background:
- Renal staghorn calculus is a complex kidney stone condition that can affect pediatric patients.
- Early diagnosis and effective treatment are crucial for preventing long-term renal damage.
Observation:
- An 8-month-old boy presented with symptoms including fever, vomiting, hematuria, proteinuria, and pyuria.
- Abdominal X-ray revealed bilateral renal staghorn calculus.
Findings:
- The infant underwent extracorporeal shock wave lithotripsy (ESWL) at 10 and 11 months of age.
- The ESWL treatment was successful in managing the bilateral renal staghorn calculus.
- No complications were reported following the ESWL procedures.
Implications:
- Extracorporeal shock wave lithotripsy (ESWL) is a safe and effective treatment option for pediatric renal staghorn calculus.
- This case highlights the successful application of ESWL in very young children.
- Prompt intervention can lead to favorable outcomes in infant urolithiasis.
Abstract:
An 8-month-old boy who presented with pyrexia and vomiting was referred to the pediatric clinic of Kitasato University Hospital. He was found to have hematuria, proteinuria and pyuria. Abdominal X-ray film showed calcification suggesting renal staghorn calculus in the bilateral kidneys. At 10-months and 11-months, we succeeded in treating him with extracorporeal shock wave lithotripsy (ESWL) without complications.