ABSTRACT
INTRODUCTION: The incidence of urinary stones in Danish children is unknown. An estimate from The National Diagnosis Registry in Denmark is approximately 1:13,500. The purpose was to estimate the incidence of urinary stones and their composition in children in relation to sex, age and family history. MATERIALS AND METHODS: A retrospective review of all children presented at Aarhus University Hospital, Skejby, or Roskilde Hospital from October 1999 through October 2005 with urinary tract calculi. RESULTS: 42 patients with an average age of 7.9 years. The sex ratio was 1.7 boys to 1 girl. 7 were of an ethnic origin other than Danish. 12, all boys, had inborn urogenital tract malformation. Two had secondary malformation and one had inborn error of metabolism. The incidence of urogenital infection was higher in children with malformation. In 26 patients, stone analysis and composition were available. 54% of the stones had a calcium component. One third of the children had a family history of urolithiasis. CONCLUSION: Urinary tract stone is a rather difficult pediatric diagnosis. The most frequent symptom is abdominal pain. Ultrasound established the diagnosis in 50% of cases. All concrements were diagnosed with excretory urogram or computerized tomography. 30% of the children had a family history of urolithiasis. This confirms the importance of metabolic screening and stone analysis in children.
Subject(s)
Urolithiasis/epidemiology , Adolescent , Child , Child, Preschool , Denmark/epidemiology , Female , Genetic Predisposition to Disease , Humans , Incidence , Infant , Male , Nephrolithiasis/epidemiology , Nephrolithiasis/genetics , Nephrolithiasis/therapy , Retrospective Studies , Ureterolithiasis/epidemiology , Ureterolithiasis/genetics , Ureterolithiasis/therapy , Urinary Calculi/epidemiology , Urinary Calculi/genetics , Urinary Calculi/therapy , Urolithiasis/genetics , Urolithiasis/therapyABSTRACT
Acute idiopathic scrotal oedema is normally seen in young boys. It has an acute onset with a relatively painless scrotal swelling with subcutaneous oedema, which resolves in one to three days. Paraclinics and urine analysis are normal. We report here a rare case in an adult. The diagnosis and management is the same as for young boys. It is important to remember that it can occur in adults.
