Left Lower Ureteric calculus ( stone)
A 23 month old girl presented with lower abdominal pain and low grade temperature. She had microscopic haematuria and an Xray KUB revealed a left sided lower ureteric calculus
Given the small size of the ureters in children I initially stented the left ureter with a DJ stent in order to allow considerable dilation of the ureter, so it would permit subsequent minimally invasive blasting of the large stone.
A week following the stenting procedure, the child was brought back for a Laser Lithotripsy and the stone was completely crushed with no problems using the Holmium laser fibre via a 6.5F Ureteroscope. The child was then discharged with a stent in place, with subsequent removal of this stent two weeks following her surgery for the stone blasting.
