Pediatric Urology Case Reports

51-54

Authors: Hamdi Ozcan, Canan Ceran

Behçet’s disease (BD) is a rare systemic inflammatory disorder of the blood vessels and tissues. It is rarely seen in children. The clinical course of the disease in children is similar to that of the adults by symptoms such as recurrent oral ulcers, genital ulcers and ocular inflammation. Additionally, urological manifestations rarely seen in BD. Here we present two children with BD and epididymoorchitis confusing with testicular torsion. Since BD is rarely observed in children, it is very difficult to diagnose the patients with epididymo-orchitis. Treatment for the testicular torsion is immediate surgical therapy to prevent the testicular necrosis. On the other hand epididymo-orchitis caused by BD should be treated medically. Unnecessary surgery on BD patient can affect morbidity negatively. We aimed to take attention to this rare condition to prevent the patients from unnecessary operation.

59-61

Authors: Tiffany Perkins, Dennis Peppas, Eran Rosenberg

Children are more likely to be exposed to blunt trauma-induced kidney damage due to the lack of perirenal adipose tissue, weakness in the abdominal muscles, and less ossified thoracic cage. Grade 5 renal injury may be an indication for urgent surgical intervention. Here, we describe a case of pediatric blunt trauma with initial computerized tomography (CT) scan demonstrating complete renal devascularization suggestive of grade 5 renal injury. However, subsequent imaging demonstrated normal vascularization of the kidney. Renal artery spasm was likely the cause for the initial CT findings, which mimicked a grade 5 renal injury.

65-69

Authors: Mehmet Mazhar Utangac, Serdar Gundogdu, Bilge Turedi, Mehmet Ogur Yilmaz, Mehmet Emin Balkan, Nizamettin Kilic

Presence of multiple calculi in a single system ureterocele is a rare condition. A 3-year-old boy presented with recurrent urinary tract infections in whom multiple calculi were noted in the urinary bladder on x-ray and ultrasound scan. In addition, ultrasound showed the presence of ureterocele in the size of 18x15x12 mm. Open surgery revealed an ureterocele with multiple stones. Here, we present a boy with multiple stones in the left ureterocele diagnosed intra-operatively due to its rarity, etiology and treatment options.