Chronic Renal Insufficiency in an Adolescent Male with Bilateral Urolithiasis: A Case Report

Abstract

The rare case of a 15-year-old male adolescent with chronic renal insufficiency, bilateral hydronephrosis, and urolithiasis, is presented. Characteristic features included abdominal mass, delayed presentation, marked growth retardation and profound anaemia. In the absence of a lithotripser, a combination of ureteroplasty and nephrectomy of the more severely affected kidney was carried out. Other constraints encountered in the course of management included parental poverty and ignorance and dearth of facilities for renal replacement therapy.


Key Words: Chronic renal insufficiency, Bilateral urolithiasis


Nigerian Journal of Paediatrics 30(3) 2003:96-99