[Treatment with percutaneous nephrolithotripsy and dissolution for bilateral renal cystine calculi in an infant].
A 20-month-old child was admitted to our hospital due to obstructive renal failure caused by cystine calculi. After recovering from the renal failure by bilateral percutaneous nephrostomy, pelvic irrigation with N-acetylcysteine was performed using a 12Fr. flexible double lumen catheter. In 2 weeks the calculus was reduced by 39% in size, then residual calculi were successfully removed by percutaneous nephrolithotripsy using 11.5Fr. rigid ureteroscope and postoperative irrigation with N-acetylcysteine.
Department of Urology, Okazaki City Hospital.
R
R
Hattori
T
T
Kinukawa
T
T
Furukawa
M
M
Baku
H
H
Otake
T
T
Yazawa
D000111:Acetylcysteine / Q000627:therapeutic use; D003553:Cystine / Q000032:analysis*; D005260:Female; D006801:Humans; D007223:Infant; D007669:Kidney Calculi / Q000737:chemistry / Q000628:therapy*; D008096:Lithotripsy; D007507:Therapeutic Irrigation
D003553:Cystine; D000111:Acetylcysteine