Urinary tract calculi in Aboriginal children

Department of Paediatric Surgery, Adelaide Children's Hospital, South Australia.
Australian paediatric journal 01/1990; 25(6):363-5. DOI: 10.1111/j.1440-1754.1989.tb02358.x
Source: PubMed


Forty-three Aboriginal children with urinary tract calculi are reviewed. There was a preponderance of male children and the majority presented early in life with urinary tract infection. Associated gastrointestinal and other problems were also common. The calculi caused considerable morbidity: 34 major surgical procedures were undertaken and three kidneys were lost.

3 Reads

  • Australian and New Zealand journal of medicine 01/1992; 21(6):921-7. DOI:10.1111/j.1445-5994.1991.tb01421.x
  • [Show abstract] [Hide abstract]
    ABSTRACT: Thirty-six Australian Aboriginal children with urolithiasis were reviewed. Males dominated the series. The age distribution ranged from 8 months to 12 years and nearly 70% were 2 years or younger. Thirty-five patients had upper tract stones. Ultrasound was diagnostic in 35 patients and was falsely negative in one. Dietary factors, dehydration and recurrent diarrhoea are incriminated in the aetiology, because ammonium urate and oxalate were the main constituents of the stones. Malformations of the urinary tract were rare and known metabolic disorders were not seen. Chemical dissolution of the stones was found to be a safe and effective adjuvant in the management of urate stones.
    Australian and New Zealand Journal of Surgery 03/1994; 64(2):99-101. DOI:10.1111/j.1445-2197.1994.tb02152.x
  • [Show abstract] [Hide abstract]
    ABSTRACT: A retrospective study of Community Health Service patient records revealed 10 cases of urolithiasis in Aboriginal children under 5 years of age in a remote central Australian Aboriginal community over a 4 year period, out of a total under-5 population estimate of 62. The highest attack rate was in the 0–2 age group, where nearly one in 10 children presented per year. All children had significant associated morbidity. Two children underwent pyelolithotomy. Aboriginal children in the remote arid zone study community suffer exceptionally high rates of urolithiasis. Inadequate diet, dehydration and recurrent infectious disease are factors in pathogenesis. Further study may elucidate aetiology, but the implications of these data for improving environmental conditions and health service delivery in Aboriginal communities are urgent.
    Journal of Paediatrics and Child Health 09/1996; 32(4):344-6. DOI:10.1111/j.1440-1754.1996.tb02567.x · 1.15 Impact Factor
Show more

Similar Publications