Balarabe Hauwa Shitu, Jeannot Baanitse Munihire, Kibansha Hope Matumaini, Isaac Edyedu, Kiswezi Ahmed
Faculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western Campus, Ishaka Bushenyi, Uganda.
Faculty of Medicine, Université Catholique la Sapientia de Goma, Goma, Democratic Republic of the Congo.
Radiol Case Rep. 2023 Sep 16;18(11):4191-4194. doi: 10.1016/j.radcr.2023.08.086. eCollection 2023 Nov.
Urolithiasis is the presence of a stone anywhere in the urinary tract, it is commonly seen in adult patients and rare in children, especially when it is associated with acute urinary retention. In children, history is not suggestive and not specific; diagnosis is made by exclusion, and imaging studies often get the findings as incidental. In this case, the clinical presentation made early diagnosis quite difficult. The management of urethral calculi varies according to the site, size, associated urethral pathology, and available resources. It becomes an emergency when it causes acute urinary obstruction, urethral bleeding, or pain. We present a case report of an 11-year-old male with a history of 3 episodes of acute urinary retention secondary to urethral obstruction by calculi. The period between 1 episode and the next was observed to be approximately 1 year, with no logical explanation. Urethral calculus in children is less frequent than in adults worldwide. Urethral calculi are either formed in the native urethra or migrate from the upper urinary tract. Urgent urinary diversion and removal of the calculus with minimal urethral trauma is the recommended treatment.
尿路结石是指泌尿系统任何部位存在结石，常见于成年患者，儿童少见，尤其是伴有急性尿潴留时。在儿童中，病史不具提示性且不特异；诊断需排除其他疾病，影像学检查结果常为偶然发现。在此病例中，临床表现使得早期诊断颇具难度。尿道结石的治疗方法因结石部位、大小、相关尿道病变及可用资源而异。当引起急性尿路梗阻、尿道出血或疼痛时，就成为紧急情况。我们报告一例11岁男性病例，有3次因结石导致尿道梗阻继发急性尿潴留的病史。观察到两次发作之间的间隔约为1年，无合理原因。全球范围内，儿童尿道结石比成人少见。尿道结石可在原尿道形成，也可从上尿路迁移而来。推荐的治疗方法是紧急尿液引流并以最小的尿道创伤取出结石。
