Academic Journal
A pediatric case of ureterolithiasis due to cystinuria accompanied by acute appendicitis; a case report
العنوان: | A pediatric case of ureterolithiasis due to cystinuria accompanied by acute appendicitis; a case report |
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المؤلفون: | Hiraoka, Tomohiro, Kawamura, Mai, Takada, Keisuke, Moriwake, Tadashi |
المصدر: | International Journal of Surgery Case Reports |
بيانات النشر: | Elsevier |
سنة النشر: | 2023 |
المجموعة: | Okayama University Scientific Achievement Repository / 岡山大学学術成果リポジトリ |
مصطلحات موضوعية: | Cystinuria, Ureterolithiasis, Cystine, Acute appendicitis, Case report |
الوصف: | Introduction: Acute abdominal pain, a chief complaint frequently seen in the emergency department, can be triggered by a vast range of conditions. Although ureterolithiasis is a less common cause in children, renal colic can be caused by calculi due to hereditary metabolic diseases among patients in those age groups. Presentation of case: We report a 12-year-old girl with abdominal pain who was diagnosed with concurrent acute appendicitis and ureterolithiasis due to cystinuria. Acute appendicitis was successfully treated with cefmetazole, and the calculus was eliminated after adequate fluid loading. Discussion: Synchronous acute appendicitis and ureterolithiasis is reported to be rare. Cystinuria is a hereditary metabolic stone-forming disease, and the first calculi can be detected in childhood. Increasing the solubility of cystine in the urine is required to prevent recurrent stone formation and accompanying complications. Urinalysis, ultrasound, and computed tomography coincidentally demonstrated two different acute pathological processes of ureterolithiasis and appendicitis. Conclusion: Careful physical and laboratory examination can help clinicians find coexisting etiologies of acute abdominal pain. Ureterolithiasis can be seen in children with hereditary disorders such as cystinuria. Early diagnosis of cystinuria and close monitoring may lead to a better long-term outcome. |
نوع الوثيقة: | article in journal/newspaper |
اللغة: | English |
تدمد: | 2210-2612 |
Relation: | info:pmid/36115118; https://ousar.lib.okayama-u.ac.jp/files/public/6/65880/20230911150943433974/fulltext.pdf; https://ousar.lib.okayama-u.ac.jp/65880 |
الاتاحة: | https://ousar.lib.okayama-u.ac.jp/files/public/6/65880/20230911150943433974/fulltext.pdf https://ousar.lib.okayama-u.ac.jp/65880 |
Rights: | © 2022 The Authors. |
رقم الانضمام: | edsbas.67E8D0D8 |
قاعدة البيانات: | BASE |
تدمد: | 22102612 |
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