Caleb Brown
Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USAPublications
-
Case Report
Pediatric Urethral Calculus Management in a Resource-Limited Setting: A Case Report and Review of the Literature
Author(s): Caleb Brown*, Jennifer Osher, Ismael Kaitama and Andrew Trecartin
Urethral calculi are an uncommon cause of acute urinary retention in children, particularly in low-resource settings where delays in presentation and limited technology complicate management. We report the case of a 5-year-old boy who presented to a rural district hospital in Chad with four days of complete urinary retention and progressive abdominal distention. Examination revealed a palpable mass at the penoscrotal junction, consistent with distal urethral obstruction. Point-of-care ultrasound demonstrated a markedly distended bladder but did not visualize a urethral stone. Initial suprapubic diversion was performed using an intravenous catheter. Under anesthesia the following day, gentle instillation of lubricating gel into the urethral meatus displaced the stone into the bladder, confirmed on repeat ultrasound. Definitive management was achieved with open suprapubic cystolithot.. Read More»
DOI: 10.14534/j-pucr.2022267566720222675687