Mohamed Abdikarim Hussein, Yasar Adem, Mohamud Hussein Ali
Mogadishu Somali Turkish Training and Research Hospital; Mogadishu, Somalia.
Urol Case Rep. 2021 Apr 7;38:101676. doi: 10.1016/j.eucr.2021.101676. eCollection 2021 Sep.
In the literature, there are few case reports regarding pediatric giant bladder stones, although they are more common in children living in low-income countries due to low socioeconomic status, a diet with low protein, animal milk (goat milk), and dehydration. Herein, we report a child with a giant bladder stone of 72 × 42 × 44 mm in dimension and 152 gm in weight successfully managed with open cystolithotomy. Early diagnosis and management of bladder stones in the pediatric age group are crucial to prevent subsequent complications including recurrent urinary tract infections, excessive antimicrobial use and dissemination of antimicrobial resistance, and consequent renal insufficiency.
在文献中，关于小儿巨大膀胱结石的病例报告很少，尽管由于社会经济地位低下、低蛋白饮食、动物奶（羊奶）摄入及脱水等原因，这类结石在低收入国家的儿童中更为常见。在此，我们报告一例患儿，其膀胱结石尺寸为72×42×44毫米，重量为152克，通过开放性膀胱切开取石术成功治愈。小儿年龄组膀胱结石的早期诊断和治疗对于预防后续并发症至关重要，这些并发症包括反复尿路感染、过度使用抗菌药物及抗菌药物耐药性传播，以及随之而来的肾功能不全。
