Singh Kawaljit, Sokhal Ashok Kumar, Sankhwar Satyanarayan, Purkait Bimalesh
Urology, King George Medical University, Lucknow, Uttar Pradesh, India.
BMJ Case Rep. 2017 Aug 3;2017:bcr-2016-218391. doi: 10.1136/bcr-2016-218391.
Nephrolithiasis, although a common entity in adults, is less common in children and rare in newborns. The evaluation and management strategies of renal stones in neonates are unclear. We report a rare scenario of renal calculus in a newborn aged 3 days presenting with decreased urine output, fever and crying during micturition. Patient was thoroughly investigated and managed conservatively. Further follow-up showed increase in stone size with recurrent urinary tract infections, hence shock wave lithotripsy was performed to successfully break and clear the stone fragments. Patient recovered well and was doing fine until last follow-up.
肾结石在成年人中虽属常见病症,但在儿童中较少见,在新生儿中则极为罕见。新生儿肾结石的评估和管理策略尚不清楚。我们报告了一例罕见的3日龄新生儿肾结石病例,该患儿表现为尿量减少、发热以及排尿时哭闹。对患儿进行了全面检查并采取保守治疗。进一步随访发现结石增大且反复出现尿路感染,因此实施了冲击波碎石术,成功击碎并清除了结石碎片。患儿恢复良好,直至最后一次随访情况都很不错。