Larson Neil P, Bridwell Rachel E, Yoo Michael J
Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, USA.
Cureus. 2020 Sep 24;12(9):e10637. doi: 10.7759/cureus.10637.
Ureterolithiasis in the pediatric population is uncommon and may mimic acute abdomen. While the majority of small stones pass spontaneously, complications may ultimately warrant surgical intervention. As the majority of affected patients have a predisposing condition, targeted therapy with close and consistent follow-up may prevent recurrence, emphasizing timely diagnosis. The authors present the case of a previously healthy 13-year-old boy with eight days of right lower quadrant abdominal pain and emesis, who was found to have a distal ureteral stone necessitating surgical intervention.
小儿输尿管结石并不常见,可能会表现为急腹症。虽然大多数小结石可自行排出,但并发症最终可能需要手术干预。由于大多数受影响的患者有易感因素,针对性治疗并密切持续随访可能预防复发,这强调了及时诊断的重要性。作者报告了一例病例,一名此前健康的13岁男孩,右下腹痛伴呕吐8天,经检查发现远端输尿管结石,需要进行手术干预。