Asian Journal of Case Reports in Medicine and Health

Two-Year-Old Boy with Gross Hematuria: A Case Report

Hosen M. M. A. *

Institute of Nuclear Medicine & Allied Sciences (INMAS), Cumilla Medical College Hospital Campus, Cumilla, Bangladesh.

Islam M. R.

Institute of Nuclear Medicine & Allied Sciences, Cumilla, Bangladesh.

Karim E. U.

Institute of Nuclear Medicine & Allied Sciences, Cumilla, Bangladesh.

Hossain M. M.

Institute of Nuclear Medicine & Allied Sciences, Rajshahi, Bangladesh.

Alam S. N.

Institute of Nuclear Medicine & Allied Sciences, Rajshahi, Bangladesh.

Tasnim Mahmud

Department of Public Health, North South University, Bangladesh.

*Author to whom correspondence should be addressed.

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Abstract

Introduction: Ureteric calculus in pediatric age group is rare. Most common cause of pediatric hydronephrosis is PUJ (pelvi-ureteric junction) obstruction, but hydronephrosis due to VUJ (vesico-ureteric junction) obstruction by ureteric calculus is rare in this population. Recently we diagnosed such an unusual case of unilateral hydronephrosis due to VUJ calculi in a 2-years old boy by trans-abdominal ultrasound.

Case Presentation: Master Jakariya, 2 years of age, from Shuagaji, Cumilla came to Cumilla Medical College Hospital with the complaints of gross hematuria for 4 months, were suggested to do USG. Ultrasonogram revealed two bright echogenic shadow-casting structures (12mm & 8mm) at right vesico-ureteric junction (VUJ) with mildly dilated right ureter along with pelvi-calyceal system. On Doppler study VUJ calculi shows characteristic “twinkling” artifact.

Conclusion: During the last decades, USG has played a significant role in the field of urology. It is a blessing for a modern urologist for the early diagnosis and satisfied prognosis of urological disorders, for example, urolithiasis.

Keywords: Calculi, hematuria, hydronephrosis, obstruction

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