Urolithiasis and psoas abscess in a 2-year-old boy with type 1 glycogen storage disease.
We report on a pyogenic psoas abscess secondary to an impacted calcium oxalate ureteric stone in a 2-year-old boy with glycogen storage disease type 1 (GSD-1). The patient had a drainage of the abscess through a flank incision followed by percutaneous nephrostomy and open ureterolithotomy. Metabolic acidosis, hyperuricemia, hypocitraturia, and hypercalciuria appear to be significant in the pathogenesis of urolithiasis in patients with GSD-1. Regular ultrasonography of the abdomen along with optimal metabolic control may delay or prevent urolithiasis and its complications in GSD-1 patients.
Nazir
Zafar
Z
Section of Pediatric Surgery, Department of Surgery, The Aga Khan University Hospital, P.O. Box 3500, Stadium Road, Karachi, 74800, Pakistan. zafar.nazir@aku.edu
Qazi
Saqib Hamid
SH
D002675:Child, Preschool; D005953:Glycogen Storage Disease Type I / Q000150:complications*; D006801:Humans; D008297:Male; D016659:Psoas Abscess / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography / Q000379:methods; D052878:Urolithiasis / Q000150:complications* / Q000209:etiology*