Abstract

The incidence of nephrolithiasis, especially bladder calculi, is lower in childhood compared with adults; but pediatric nephrolithiasis is an important cause of morbidity and has various etiology. A 21 month male infant was admitted to our hospital with atypical position during micturition because of pain. In his history, he was operated because of penoscrotal hypospadias and meatal dilatation was done for meatal stenosis in 12 months old. He did not have urinary tract infection before, but in the last 3 months he was treated for febrile urinary tract infections for three times. On physical examination he had failure to thrive and poor weight gain. He had difficulty and pain during voiding and he could urinate only in right and downword position. X-Ray and ultrasonography revealed bladder calculi and in laboratory he had hypercalciuria. The calculi was removed with surgery and analysis revealed calcium oxalate stone.

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