eISSN: 3023-6940
  • Home
  • Effect of urolithiasis in the differential diagnosis of acute abdominal pain in pediatric age population

Original Research

Effect of urolithiasis in the differential diagnosis of acute abdominal pain in pediatric age population


1 İstanbul Medipol Üniversitesi, Çocuk Sağlığı ve Hastalıkları ABD

2 İstanbul Medipol Üniversitesi, Üroloji ABD

3 İstanbul Medipol Üniversitesi, Radyoloji ABD


DOI :
New J Urol. 2016; 11 (1): 06-09

Abstract

Objectives: Acute abdominal pain is one of the most common reason of admission to emer-gency in children. Acute abdomimal pain may be a symptom of simple conditions such as infec-tions or due to serious conditions which can be resulted in severe morbidity or mortality. Urolit-hiasis is one of these commonly seen conditions. Material and Methods: A total of 442 child-ren presented to the emergency service with acute abdominal pain were reviewed. Routine physical examination and abdominal ultraso-nography were performed.

Results: The most common causes of abdo-minal pain are, urinary infection (n=55, 12.4%), urolithiasis n=38, 8.6%, mesenteric  lymphadeni-tis n=34, 7.7%, problems of hepatobiliary system n=22, 5%, urinary tract anomalies n=12, 2.7% and idiopathic abdominal pains n=11, 2.5%. Surgical reasons were 6.1% n=27. Abdominal ultrasonography was normal in 243 children.

Conclusion: Pediatric urolithiasis is a se-rious condition which can cause severe morbi-dity. Acute abdominal pain is the first and most common sypmtom of urolithiasis, therefore uro-lithiasis must be primarily in mind in children presented to the emergency room with acute abdominal pain.

Key Words: Acute abdominal pain, child-ren, urolithiasis.


Abstract

Objectives: Acute abdominal pain is one of the most common reason of admission to emer-gency in children. Acute abdomimal pain may be a symptom of simple conditions such as infec-tions or due to serious conditions which can be resulted in severe morbidity or mortality. Urolit-hiasis is one of these commonly seen conditions. Material and Methods: A total of 442 child-ren presented to the emergency service with acute abdominal pain were reviewed. Routine physical examination and abdominal ultraso-nography were performed.

Results: The most common causes of abdo-minal pain are, urinary infection (n=55, 12.4%), urolithiasis n=38, 8.6%, mesenteric  lymphadeni-tis n=34, 7.7%, problems of hepatobiliary system n=22, 5%, urinary tract anomalies n=12, 2.7% and idiopathic abdominal pains n=11, 2.5%. Surgical reasons were 6.1% n=27. Abdominal ultrasonography was normal in 243 children.

Conclusion: Pediatric urolithiasis is a se-rious condition which can cause severe morbi-dity. Acute abdominal pain is the first and most common sypmtom of urolithiasis, therefore uro-lithiasis must be primarily in mind in children presented to the emergency room with acute abdominal pain.

Key Words: Acute abdominal pain, child-ren, urolithiasis.

Resources