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Abstract
ABSTRACT
The authors present two cases of ureteral stones in two male babies aged 3 years and 18 months respectively.
The expulsion of these stones did not subside the symptomatology, than an attentive clerking was done and revealed a recurrent symptomatology which associated nonspecific digestive and génito urinary signs and a right iliac fossa pain which was present on physical examination.
All of these signs were ameliorated after appendectomy and none of these children presented with any calculi pathology.
Histology carried out on the appendices revealed signs of appendicitis
The discussion now brings out an etiological link between the appendicitis and the stones that were observed with the associated signs and symptoms.
RÉSUMÉ
Les auteurs présentent deux cas d’empierrement urétral inaugural chez des nourrissons mâles respectivement âgés de 3 ans et de 18 mois. L’expulsion des calculs n’ayant pas ramené le calme, un interrogatoire attentif décela chez l’un et l’autre une symptomatologie récurrente associant des signes digestifs et génito-urinaires non spécifiques, et l’examen physique une douleur de la fosse iliaque droite. Tout ce cortège s’amenda après appendicectomie. Aucun des deux enfants ne présentait une maladie générale lithogène. L’anatomopathologie des pièces opératoires identifia des lésions d’appendicite.
La discussion débouche sur un lien de causalité entre l’appendicite, les calculs observés, et la symptomatologie accompagnatrice.
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References
- IIDA K, YAMAGUCHI K, NISHIMURA Y, TOMINAGA T. (Hydronephrosis as a complication of the appendicular abscess: case report) Article in Japanese. Radiology, 1997 oct ; 205 (1) : 43-5
- PANAZOV FK, TIKHII AT, BELIK IE, ALEKSEENKO VI. (Errors in the diagnosis of acute appendicitis with predominantly urologic symptoms. VESTN KHIR in II GREK 1989 Jan ; 142 (1) : 120-2 (Article in Russian)
- ASHKOU S, SFEFANOV K. (undiagnosed and complicated acute appendicitis leading to obstruction of the signal functioning kidney) - article in Bulgarian - Khirurgiia (Sofia). 1984, 37 (6) 523-4
- COHEN MS, NORRIS MA, GURBER M.B, WARREN MM. Appendicitis and appendicolithiasis presenting as ureteral stone and colic Urology 1981 Dec ; 18 (6) : 623-4
- ROVINESCU I. (Appendicovesical fistula) Article in French J. Urol (Paris) 1981 ; 87 (8) : 527-9
- NAIK RB, MATHIAS CJ, MALIK N, LEE HA, JENKINS JD, ABERCROMBIE GF. HYROKALAEMIC HYPERCHLORAEMIC METABOLIC Acidosis and vesical stones complicating appendicovesical fistulae BR.J.UROL ; 1980 Aug ; 52 (4) : 274-9
- SCHMIDT C. Appendicitis and Kidney calculi DTSCH Med Wochenschr. 1980 Jan ; 105 (3) : 99-100. (Article in German).
- LIU CC, YEN DH, LU CL, CHERNCH, LEE CH Acute urinary retention in the elderly an unusual presentation of appendicitis with a high perforation risk. Gerontology. 2002 Nov-Dec ; 48 (6) : 387-91
- MENDEL Z. (case of acute appendicitis with pyonephrosis) article in polish WIAO LEK. 1976 Jun 15, 29 (12) : 1115-6
- KONON LF (Chronic appendicitis and the role of urological pathology in the development of abdominal syndrome in children) Article in Russian VOPROKHR MATERIN DET. 1974 Dec ; 19 (12) : 40-2
- B. DORE Lithiases urinaires, in Urologie : 61 – 72 ; Paris Maloine S.A. Editeur 1984.
References
IIDA K, YAMAGUCHI K, NISHIMURA Y, TOMINAGA T. (Hydronephrosis as a complication of the appendicular abscess: case report) Article in Japanese. Radiology, 1997 oct ; 205 (1) : 43-5
PANAZOV FK, TIKHII AT, BELIK IE, ALEKSEENKO VI. (Errors in the diagnosis of acute appendicitis with predominantly urologic symptoms. VESTN KHIR in II GREK 1989 Jan ; 142 (1) : 120-2 (Article in Russian)
ASHKOU S, SFEFANOV K. (undiagnosed and complicated acute appendicitis leading to obstruction of the signal functioning kidney) - article in Bulgarian - Khirurgiia (Sofia). 1984, 37 (6) 523-4
COHEN MS, NORRIS MA, GURBER M.B, WARREN MM. Appendicitis and appendicolithiasis presenting as ureteral stone and colic Urology 1981 Dec ; 18 (6) : 623-4
ROVINESCU I. (Appendicovesical fistula) Article in French J. Urol (Paris) 1981 ; 87 (8) : 527-9
NAIK RB, MATHIAS CJ, MALIK N, LEE HA, JENKINS JD, ABERCROMBIE GF. HYROKALAEMIC HYPERCHLORAEMIC METABOLIC Acidosis and vesical stones complicating appendicovesical fistulae BR.J.UROL ; 1980 Aug ; 52 (4) : 274-9
SCHMIDT C. Appendicitis and Kidney calculi DTSCH Med Wochenschr. 1980 Jan ; 105 (3) : 99-100. (Article in German).
LIU CC, YEN DH, LU CL, CHERNCH, LEE CH Acute urinary retention in the elderly an unusual presentation of appendicitis with a high perforation risk. Gerontology. 2002 Nov-Dec ; 48 (6) : 387-91
MENDEL Z. (case of acute appendicitis with pyonephrosis) article in polish WIAO LEK. 1976 Jun 15, 29 (12) : 1115-6
KONON LF (Chronic appendicitis and the role of urological pathology in the development of abdominal syndrome in children) Article in Russian VOPROKHR MATERIN DET. 1974 Dec ; 19 (12) : 40-2
B. DORE Lithiases urinaires, in Urologie : 61 – 72 ; Paris Maloine S.A. Editeur 1984.