Abstract
BackgroundUroterocele causes atony and stagnation in the ureter, thus predisposing the patient to stone formation. Multiple calculi in uroteroceles are common in adults but very rare in children.Case presentationWe describe the case of a 3-year-old boy who presented with hematuria and was found to have multiple ureteral and ureterocele stones. The diagnosis was made during endoscopic lithotripsy. A holmium/yttrium–aluminum–garnet (Ho–YAG) laser was used to excise the uroterocele and for lithotripsy.ConclusionsIn appropriate cases, minimally invasive techniques, for example, Ho–YAG laser lithotripsy and ureterocele excision may be preferred.
Highlights
Uroterocele causes atony and stagnation in the ureter, predisposing the patient to stone formation
Ureteroceles and stone association is common in adults but rarely seen in children [2]
We describe the discovery of multiple ureteral and uroterocele stones in a 3-year-old boy
Summary
A ureterocele is a dilation of the submucosal ureter due to a delay in Chawall’s membrane absorption. Ureteroceles and stone association is common in adults but rarely seen in children [2] In this case report, we describe the discovery of multiple ureteral and uroterocele stones in a 3-year-old boy. Our patient was just 3 years old, making this is the third youngest case report of multiple ureteral and ureterocele stones in the literature. It is the first time laser lithotripsy has been used for ureterocele excision. In the limited number of pediatric patients in the literature, open surgery is generally preferred (Table 1)
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