Muñoz López Antonio Y, Figueroa-Garcia Alejandro, Castro-Zazueta Said, Tejeda Andrade Carlos, Gomez Regalado Francisco
Endourology and Robotic Surgery, Universidad La Salle México, Mexico City, MEX.
Urology, Hospital Angeles del Carmen, Guadalajara, MEX.
Cureus. 2025 Feb 22;17(2):e79475. doi: 10.7759/cureus.79475. eCollection 2025 Feb.
Renal lithiasis in pediatric patients, although rare, affects children of all ages and both genders. Endourology has recently emerged as a safe and effective method for treating stones in children, thanks to advances in equipment and growing experience with retrograde and percutaneous treatments in adults. However, performing percutaneous nephrolithotomy (PCNL) in this age group presents unique challenges due to the smaller anatomical dimensions. We describe the case of a two-year-old girl with a history of multiple febrile urinary tract infections. A computed tomography (CT) scan shows a stone in the pelvis of the left kidney, measuring 7.43 x 5.64 x 10 mm with a density of 450 HU and no evidence of hydronephrosis. The patient was treated with a single session of miniaturized percutaneous nephrolithotomy (mini-PCNL). Mini-PCNL presents a safe and effective option for treating kidney stones in pediatric patients. This approach demonstrates a high stone-free rate and low complication incidence, making it a viable alternative for young patients requiring stone removal.
小儿肾结石虽然罕见，但可发生于各年龄段及不同性别的儿童。由于设备的进步以及成人逆行和经皮治疗经验的积累，腔内泌尿外科最近已成为治疗儿童结石的一种安全有效的方法。然而，由于该年龄组患儿解剖结构较小，进行经皮肾镜取石术（PCNL）面临独特挑战。我们描述了一名两岁女童的病例，她有多次发热性尿路感染病史。计算机断层扫描（CT）显示左肾盂有一枚结石，大小为7.43×5.64×10毫米，密度为450亨氏单位，无肾积水迹象。该患者接受了单次小型化经皮肾镜取石术（mini-PCNL）治疗。Mini-PCNL是治疗小儿肾结石的一种安全有效的选择。这种方法显示出高结石清除率和低并发症发生率，使其成为需要结石清除的年轻患者的可行替代方案。
