Pediatric Urology Case Reports

341-345

Authors: Ramaswamy Rajendran, Mohammed Shawky, Rayan Baz, Ghazi Mukttash

A 70d old infant who had reducible bilateral inguinal hernia was found to have acute bilateral scrotal swelling, erythema and tenderness without intestinal obstruction. Radiography and ultrasonography studies detected right side inguinoscrotal hernia. With a diagnosis of strangulated inguinal hernia on right side, exploration was done. Amyand's hernia and acute scrotal appendicitis were found. Appendectomy, bilateral inguinal herniotomy and scrotal fixation of testes were done. Scrotal appendicitis is an exceptionally rare cause of acute scrotum in young infants. Scrotal manifestations and scrotal complications of acute appendicitis in children are reviewed. This case stresses the need for emergency exploration of acute scrotum in which there is diagnostic dilemma

350-355

Authors: Babalwa Nondela, John Lazarus, Justin Howlett, Mignon McCulloch, Peter Nourse, Glenda Moonsamy, Cecil Levy

We report on a case of a pediatric recipient with a well-managed HIV associated nephropathy (HIVAN) on highly active anti-retroviral therapy who underwent a successful deceased donor kidney transplantation, and was unexpectedly found to have a donated staghorn stone. Safe and effective management of the donated stone with combined Percutaneous Nephrolithotomy and ExtraCorporeal Shock Wave Lithotripsy to salvage the solitary allograft is discussed. To our knowledge this case is the first reported pediatric kidney transplant for HIVAN with a donated staghorn kidney stone in the English literature.