Paediatric Surgery, Great North Children's Hospital, Newcastle Upon Tyne, UK
Paediatric Surgery, Great North Children's Hospital, Newcastle Upon Tyne, UK.
BMJ Case Rep. 2021 Jan 25;14(1):e235022. doi: 10.1136/bcr-2020-235022.
A seven-year-old boy was referred to our Accident and Emergency department with a history of urinary retention secondary to urinary tract infection and an inability to pass a urethral catheter. He had been treated a month before for suspected pyelonephritis by the referring hospital. Attempts at urethral catheterisation failed, and he was taken to theatre for cystourethroscopy and catheter placement. At this time, an impacted urethral stone was discovered. Because it could not be dislodged, a suprapubic catheter was placed, and the child was brought back at a later date for definitive management. Investigations revealed a pure calcium oxalate stone that was secondary in origin. There has been no recurrence during a follow-up period of 6 months.This illustrates that while rare, urethral stones do occur in children and should be considered in children presenting with urinary retention, haematuria and/or abdominal pain.
一名 7 岁男孩因尿路感染导致尿潴留和无法通过尿道导尿管而被转至我院急症室就诊。一个月前，他曾因疑似肾盂肾炎在转诊医院接受治疗。尿道导尿尝试失败后，他被送往手术室进行膀胱尿道镜检查和导管放置。此时，发现有一个嵌顿的尿道结石。由于无法将其取出，因此放置了耻骨上导管，随后在日后为他进行了明确的治疗。检查结果显示结石为纯草酸钙结石，属于继发性结石。在 6 个月的随访期间没有复发。这表明，虽然尿道结石在儿童中较为罕见，但在出现尿潴留、血尿和/或腹痛的儿童中应考虑到该疾病。
