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Abdomen » Kidneys/Ureters
Pediatric renal and vesical calculi
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Author(s) :
Shlomo Gobi
 
Presentation A 2 month old baby, restless and crying continuously for 2 days, presents to the ER. Urinanalysis revealed micro-hematuria. An ultrasound was performed.
 
 
 
Caption: Ultrasound of the right kidney
Description: There is dilatation of the right pelvi-calyceal system. Small, echogenic non-shadowing calculi are seen in the lower calyx.
 
 
 
Caption: Transverse view of the urinary bladder
Description: The urinary bladder also shows the presence of at least two echogenic calculi. These probably passed from the kidney.
 
Differential Diagnosis Renal and vesical calculi
 
Final Diagnosis Renal and vesical calculi
 
Follow Up A CT scan was performed to look for any ureteral stones. The ultrasound findings of renal and vesical calculi were confirmed. No ureteral stones were found. The baby was hospitalized and responded well to IV fluids and analgesics. The cause for the calculi was not identified.
 
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