Urolithiasis – a chronic and recurrent disease in a girl with multiple congenital anomalies and cerebral palsy– case report

Urolithiasis is a disease unit more common in adult patients. However in the pediatric population it is also animportant clinical problem due to high risk of recurrence in the patient’s life among others. Hyperkalciuria, hyperuricemia, hyperoxaluria and cystinuria secondary to metabolic disorders pr...

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Autores principales:	E. Wajszczuk, M. Szymanek-Szwed, J. Samotyjek, K. Jobs, B. Jurkiewicz
Formato:	article
Lenguaje:	EN RU UK
Publicado:	Group of Companies Med Expert, LLC, Kyev, Ukraine 2019
Materias:	urolithiasis children recurrence surgical treatment Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/edeb3fe7a0774e0bb44a67f5ef2c81de
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spelling	oai:doaj.org-article:edeb3fe7a0774e0bb44a67f5ef2c81de2021-12-03T12:49:32ZUrolithiasis – a chronic and recurrent disease in a girl with multiple congenital anomalies and cerebral palsy– case report2304-00412521-135810.15574/PS.2019.64.37https://doaj.org/article/edeb3fe7a0774e0bb44a67f5ef2c81de2019-09-01T00:00:00Zhttp://psu.med-expert.com.ua/article/view/206635https://doaj.org/toc/2304-0041https://doaj.org/toc/2521-1358Urolithiasis is a disease unit more common in adult patients. However in the pediatric population it is also animportant clinical problem due to high risk of recurrence in the patient’s life among others. Hyperkalciuria, hyperuricemia, hyperoxaluria and cystinuria secondary to metabolic disorders promote stone formation.The aim of this study is the presentation of a case of a girl with multiple congenital anomalies, bilateral staghornurolithiasis and bladder stones developing in the course of hypercalcemia.The patient was diagnosed with urolithiasis at the age of 2 months. The course of the disease in her case is characterized by extremely frequent recurrences and numerous urinary tract infections of various aetiology, includinghigh-resistant bacterial strains. These infections were often turbulent and required hospitalization. Due to the extentof urolithiasis, invasive treatment was necessary, both in the lower and upper urinary tract. Endoscopic techniques(transurethral cystolithotrypsy and ureterorenoscopy) were used in urinary bladder and ureter urolithiasis. Renaldeposits were removed by the use of open access surgery (pyelolithotomy with intrarenal lithotrypsy).Although the ongoing development technology and miniaturization of equipment have allowed and popularizedminimally invasive treatment of urolithiasis, some exceptional cases still require surgical treatment with open surgery.The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocolwas approved by the Local Ethics Committee (LEC) of all institutions. No conflict of interest was declared by the authors.E. WajszczukM. Szymanek-SzwedJ. SamotyjekK. JobsB. JurkiewiczGroup of Companies Med Expert, LLC, Kyev, Ukrainearticleurolithiasischildrenrecurrencesurgical treatmentPediatricsRJ1-570SurgeryRD1-811ENRUUKХірургія дитячого віку, Iss 3(64), Pp 37-41 (2019)
institution	DOAJ
collection	DOAJ
language	EN RU UK
topic	urolithiasis children recurrence surgical treatment Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	urolithiasis children recurrence surgical treatment Pediatrics RJ1-570 Surgery RD1-811 E. Wajszczuk M. Szymanek-Szwed J. Samotyjek K. Jobs B. Jurkiewicz Urolithiasis – a chronic and recurrent disease in a girl with multiple congenital anomalies and cerebral palsy– case report
description	Urolithiasis is a disease unit more common in adult patients. However in the pediatric population it is also animportant clinical problem due to high risk of recurrence in the patient’s life among others. Hyperkalciuria, hyperuricemia, hyperoxaluria and cystinuria secondary to metabolic disorders promote stone formation.The aim of this study is the presentation of a case of a girl with multiple congenital anomalies, bilateral staghornurolithiasis and bladder stones developing in the course of hypercalcemia.The patient was diagnosed with urolithiasis at the age of 2 months. The course of the disease in her case is characterized by extremely frequent recurrences and numerous urinary tract infections of various aetiology, includinghigh-resistant bacterial strains. These infections were often turbulent and required hospitalization. Due to the extentof urolithiasis, invasive treatment was necessary, both in the lower and upper urinary tract. Endoscopic techniques(transurethral cystolithotrypsy and ureterorenoscopy) were used in urinary bladder and ureter urolithiasis. Renaldeposits were removed by the use of open access surgery (pyelolithotomy with intrarenal lithotrypsy).Although the ongoing development technology and miniaturization of equipment have allowed and popularizedminimally invasive treatment of urolithiasis, some exceptional cases still require surgical treatment with open surgery.The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocolwas approved by the Local Ethics Committee (LEC) of all institutions. No conflict of interest was declared by the authors.
format	article
author	E. Wajszczuk M. Szymanek-Szwed J. Samotyjek K. Jobs B. Jurkiewicz
author_facet	E. Wajszczuk M. Szymanek-Szwed J. Samotyjek K. Jobs B. Jurkiewicz
author_sort	E. Wajszczuk
title	Urolithiasis – a chronic and recurrent disease in a girl with multiple congenital anomalies and cerebral palsy– case report
title_short	Urolithiasis – a chronic and recurrent disease in a girl with multiple congenital anomalies and cerebral palsy– case report
title_full	Urolithiasis – a chronic and recurrent disease in a girl with multiple congenital anomalies and cerebral palsy– case report
title_fullStr	Urolithiasis – a chronic and recurrent disease in a girl with multiple congenital anomalies and cerebral palsy– case report
title_full_unstemmed	Urolithiasis – a chronic and recurrent disease in a girl with multiple congenital anomalies and cerebral palsy– case report
title_sort	urolithiasis – a chronic and recurrent disease in a girl with multiple congenital anomalies and cerebral palsy– case report
publisher	Group of Companies Med Expert, LLC, Kyev, Ukraine
publishDate	2019
url	https://doaj.org/article/edeb3fe7a0774e0bb44a67f5ef2c81de
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Urolithiasis – a chronic and recurrent disease in a girl with multiple congenital anomalies and cerebral palsy– case report

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