The Effectiveness of Extracorporeal Shock Wave In Pediatric Renal Stones

The Effectiveness of Extracorporeal Shock Wave In Pediatric Renal Stones

Ali Dawas Alshahrani1, Saleh mohammad alghamdi2, Ali Saad Alshahrani3, Ahmed Youssef Abouelyazid4
1Resident Urology Armed Forces Hospitals Southern Region, Saudi Arabia.
2Urology Consultant Armed Forces Hospitals Southern Region, Saudi Arabia.
3MBBS Saudi board of Community Medicine Residents
4Consultant of Preventive Medicine, Armed Forces Hospitals Southern Region, Saudi Arabia.

International-Journal-of-Case-Reports-2d code

Introduction: Renal stones are endemic in low income countries among children below 15 years old. This should not be underestimated due to high association with other morbidity and highly recurrence rate when compared with adults.
Objective : To explore the Effectiveness of Extracorporeal Shock Wave In Pediatric Renal Stones. Methodology: Study the case of a child girl reported with renal stone, clinical and laboratory data were obtained , Radiological investigations as US and CT were done, The patient underwent dj stent, then patient received one session of Extracorporeal Shock Wave 4000 us guided storz eswl Lithotripsy for urinary Stones then uralyt-u pediatric dose and allpourinol 100 mg once daily then start to passing stones gravels Results: Follow up by CT for the patient after 3 months revealed no stone, renal scan split function from 12 to 18%.
Conclusion: Renal stones could be presented even among pediatric group even with negative family history. Ultrasound is the first choice imaging modality for diagnosis of suspected renal stones , CT could be used for follow up. Dihydroxyadenine stones could be missed during routine diagnosis of renal stones so imaging is mandatory and stones analysis should be done.

Keywords: Extracorporeal Shock Wave, Pediatric Renal Stones

Free Full-text PDF

How to cite this article:
Ali Dawas Alshahrani, Saleh mohammad alghamdi, Ali Saad Alshahrani, Ahmed Youssef Abouelyazid. The Effectiveness of Extracorporeal Shock Wave In Pediatric Renal Stones. International Journal of Case Reports, 2019 4:64. DOI: 10.28933/ijcr-2019-02-1005


1. Kokorowski PJ, Hubert K, Nelson CP. Evaluation of pediatric nephrolithiasis. Indian journal of urology: IJU: journal of the Urological Society of India. 2010 Oct;26(4):531.
2. Hesse A. Urinary stones: Diagnosis, treatment, and prevention of recurrence. Karger Medical and Scientific Publishers; 2009.
3. Copelovitch L. Urolithiasis in children: medical approach. Pediatric Clinics. 2012 Aug 1;59(4):881-96.
4. Bilge I, Yilmaz A, Kayiran SM, Emre S, Kadioglu A, Yekeler E, Sucu A, Sirin A. Clinical importance of renal calyceal microlithiasis in children. Pediatrics International. 2013 Dec 1;55(6):731-6.
5. Hoppe B, Kemper MJ. Diagnostic examination of the child with urolithiasis or nephrocalcinosis. Pediatric nephrology. 2010 Mar 1;25(3):403-13.
6. Sreejith P, Narasimhan KL, Sakhuja V. 2, 8 Dihydroxyadenine urolithiasis: A case report and review of literature. Indian journal of nephrology. 2009 Jan;19(1):34.
7. Fallahzadeh MA, Hassanzadeh J, Fallahzadeh MH. What do we know about pediatric renal microlithiasis?. Journal of renal injury prevention. 2017;6(2):70.
8. Eshed I, Witzling M. The role of unenhanced helical CT in the evaluation of suspected renal colic and atypical abdominal pain in children. Pediatric radiology. 2002 Mar 1;32(3):205-8.
9. Türk C, Petřík A, Sarica K, Seitz C, Skolarikos A, Straub M, Knoll T. EAU guidelines on diagnosis and conservative management of urolithiasis. European urology. 2016 Mar 1;69(3):468-74.
10. Etter C, Russi R, Fogazzi GB, Wüthrich RP, Serra AL. Maltese cross-like crystals in the urinary sediment of a diabetic patient. NDT plus. 2009 Jun 13;2(5):405-7.
11. Edvardsson VO, Goldfarb DS, Lieske JC, Beara-Lasic L, Anglani F, Milliner DS, Palsson R. Hereditary causes of kidney stones and chronic kidney disease. Pediatric nephrology. 2013 Oct 1;28(10):1923-42.
12. Marra G, Vercelloni PG, Edefonti A, Manzoni G, Pavesi MA, Fogazzi GB, Garigali G, Mockel L, Picot IC. Adenine phosphoribosyltransferase deficiency: an underdiagnosed cause of lithiasis and renal failure. InJIMD Reports-Case and Research Reports, 2012/2 2011 (pp. 45-48). Springer, Berlin, Heidelberg.

Terms of Use/Privacy Policy/ Disclaimer/ Other Policies:
You agree that by using our site, you have read, understood, and agreed to be bound by all of our terms of use/privacy policy/ disclaimer/ other policies (click here for details).

This work and its PDF file(s) are licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.