Open AccessEvaluation of pediatric nephrolithiasis
Author(s) -
Paul Kokorowski,
Katherine C. Hubert,
Caleb P. Nelson
Publication year - 2010
Publication title -
indian journal of urology/indian journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.333
H-Index - 30
eISSN - 1998-3824
pISSN - 0970-1591
DOI - 10.4103/0970-1591.74453
Subject(s) - medicine , flank pain , presentation (obstetrics) , urinary system , abdominal pain , population , pediatrics , signs and symptoms , intensive care medicine , general surgery , surgery , environmental health
Nephrolithiasis in the pediatric population is an important cause of morbidity worldwide. Presenting signs and symptoms are often considerably different from those in adults. Vague abdominal pain, hematuria, and urinary tract infection are more common in children than the classic colicky flank pain. Imaging of suspected cases should be undertaken with careful consideration of diagnostic accuracy and the potentially harmful effects of ionizing radiation. Because children with nephrolithiasis have a high chance of recurrent stone formation, a thorough risk assessment and metabolic evaluation should be performed. This review discusses the presentation, acute evaluation and risk assessment of nephrolithiasis in the pediatric population.