Jornal Brasileiro de Patologia e Medicina Laboratorial (Aug 2019)

Case report of staghorn calculi in a pediatric patient

  • Isadora E. Silva,
  • Gabriela C. Abreu,
  • Wagner M. Moura,
  • Débora C. Cerqueira,
  • Cinthia A. C. Leandro

DOI
https://doi.org/10.5935/1676-2444.20190022
Journal volume & issue
Vol. 55, no. 3
pp. 295 – 304

Abstract

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ABSTRACT This article reports a case of large volume asymptomatic staghorn calculus, and a brief revision of this rare pathology is done. A two-yearold male patient was diagnosed with staghorn calculus and hydronephrosis in the left kidney. The patient underwent surgical therapy with pyelolithotomy, pyeloplasty and placement of a double-J catheter, without complications. Staghorn calculi occupy the pelvis and renal calyces. Their incidence in children is lower than in adults. The average age at diagnosis is between 7 and 10 years. The etiology for calculi is diverse; in children under 4 years, it is especially related with infectious factors and hydronephrosis. The standard procedure for treatment is percutaneous nephrolithotomy.

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