1/3. Development of a large bladder calculus on sutures used for pubic bone closure following extrophy repair.bladder exstrophy is a rare congenital condition that occurs in 1 to 30,000 live births. Primary bladder closure is usually performed in the first days of life in conjunction with an iliac osteotomy in order to achieve a more secure bladder closure. We report a case of a large bladder stone with secondary right-sided hydronephrosis in a 3-year-old child who underwent exstrophy repair at the age of 7 months. During the exstrophy repair a no. 1 braided, polyester, non-absorbable suture was used to close the pubic bones and served as a nidus for intravesical stone formation. This case substantiates the lithogenic nature of non-absorbable sutures in contact with urine as well as the need for close post-operative follow-up in these patients.- - - - - - - - - - ranking = 1keywords = calculus (Clic here for more details about this article) |
2/3. Vaginal calculus as a late complication of bladder exstrophy.STUDY OBJECTIVE: To document an unusual finding of a vaginal calculus in a patient with bladder exstrophy. DESIGN: Case report. SETTING: Tertiary Centre, Royal Children's Hospital, Melbourne, australia. PARTICIPANTS: Fourteen year old female. INTERVENTIONS: cystotomy, introitoplasty. MAIN OUTCOME: Removal of vaginal calculus. MEASURES: None. RESULTS: documentation and removal of a vaginal calculus. CONCLUSIONS: Vaginal calculi should be included in the differential diagnosis of urolithiasis in patients with bladder exstrophy.- - - - - - - - - - ranking = 1.75keywords = calculus (Clic here for more details about this article) |
3/3. Removal of ureteral stone from patient with cross-trigonal ureteral reimplantation.A ureteral calculus was extracted ureteroscopically from a pelvic kidney in a child who had undergone two open pyelolithotomies, bladder reconstruction of cloacal exstrophy, and bilateral cross-trigonal ureteral reimplantations (Cohen procedure).- - - - - - - - - - ranking = 0.25keywords = calculus (Clic here for more details about this article) |