Author/Authors :
Adedoyin, OT Department of Paediatrics - Radiology and - Surgery (Urology Unit) - University of Ilorin Teaching Hospital - Ilorin , Adesiyun, OO Department of Paediatrics - Radiology and - Surgery (Urology Unit) - University of Ilorin Teaching Hospital - Ilorin , Mark, F Department of Paediatrics - Radiology and - Surgery (Urology Unit) - University of Ilorin Teaching Hospital - Ilorin , Anigilaje, EA Department of Paediatrics - Radiology and - Surgery (Urology Unit) - University of Ilorin Teaching Hospital - Ilorin , Adeniyi, A Department of Paediatrics - Radiology and - Surgery (Urology Unit) - University of Ilorin Teaching Hospital - Ilorin , Abdulkadir, AY Department of Paediatrics - Radiology and - Surgery (Urology Unit) - University of Ilorin Teaching Hospital - Ilorin , Popoola, AA Department of Paediatrics - Radiology and - Surgery (Urology Unit) - University of Ilorin Teaching Hospital - Ilorin
Abstract :
BACKGROUND: Stone in the bladder is an uncommon
presentation in the tropics, especially in children. Its rarity
makes the index of suspicion to be low. Patients presenting
with it may be mistaken for urinary tract infection (UTI) because
of the presence of frequency and dysuria.
OBJECTIVE: To present a rare cause of urinary bladder stone
in a child in the tropics.
METHODS: The patient, a three-year-old boy, presented with
recurrent episodes of dysuria and stragury for a duration of
about one year. Work up included clinical evaluation and
laboratory assessments, results of which informed surgical
intervention.
RESULTS: The child had been treated repeatedly for urinary
tract infection. He was acutely ill with suprapubic tenderness
dysuria and poor urinary stream. He was hypertensive.
Micturating cystourethrography showed posterior urethral
valves and a bladder stone. He had vesicolithotomy and valvotomy
with improvement of his blood pressure.
CONCLUSION: The coexistence of bladder stone with PUV
coupled with delayed diagnosis may be a predisposing factor to
hypertension in children. Conventional surgical treatment
gives good results.
Keywords :
open lithotomy and valvotomy , hypertension , posterior urethral valve , Bladder stone
