Anuria in a 9-Month-Old Infant Resulting from Ureteral Cystine Stones.
10.4111/kju.2011.52.9.647
- Author:
Hamdy ABOUTALEB
1
Author Information
1. Department of Urology, Minoufiya University Hospitals, Minoufiya, Egypt. hamdyabotaleb@yahoo.com
- Publication Type:Case Report
- Keywords:
Anuria;
Infant;
Urolithiasis
- MeSH:
Anuria;
Creatinine;
Cystine;
Drainage;
Emergencies;
Female;
Hematocrit;
Humans;
Infant;
Kidney;
Nephrostomy, Percutaneous;
Ureter;
Urination;
Urolithiasis
- From:Korean Journal of Urology
2011;52(9):647-649
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pediatric urolithiasis and calcular anuria in early infancy are rare. Cystine stones may develop in utero or during early infancy. We report the case of a female 9-month-old infant with obstructive anuria resulting from cystine stones in a single functioning unit. She presented to the emergency department owing to the absence of micturition for 3 days. Radiological investigations revealed four left ureteral stones and an atrophic right kidney resulting from a calcular obstruction. Her laboratory values were as follows: serum creatinine 6.7 mg/dl, Na 132 mEq/l, K 6 mg/dl, and hematocrit 32%. An urgent percutaneous nephrostomy tube was inserted into the left side for urinary drainage, and her serum levels of creatinine and K returned to normal within 3 days. A left ureterolithotomy was the final management. Stone analysis revealed pure cystine crystals.
