Urolithiasis in an acute lymphoblastic leukemia child during induction chemotherapy.
An 11-year-old acute lymphoblastic leukemia patient suddenly developed severe abdominal flank pain and hematuria caused by renal stone during induction chemotherapy. The patient was treated with forced hydration, and the pain was relieved after the renal stone passed through. The renal stone was composed of calcium phosphate. The patient is currently in continuous complete remission, has had no recurrence of the urolithiasis, and is on consolidation chemotherapy. Although urolithiasis is extremely rare in childhood acute lymphoblastic leukemia, it should be considered in patients who complain of abdominal flank pain or back pain during chemotherapy.
Shiozawa
Yusuke
Y
Department of Pediatrics and Adolescent Medicine, Juntendo University School of Medicine, Tokyo, Japan. y-shio@mte.biglobe.ne.jp
Sakaguchi
Sachi
S
Sakakibara
Oto
O
Yagishita
Keiko
K
Saito
Masahiro
M
Yamashiro
Yuichiro
Y
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000627:therapeutic use*; D002648:Child; D006529:Hepatomegaly; D006801:Humans; D008206:Lymphatic Diseases; D008297:Male; D015452:Precursor B-Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy*; D013163:Splenomegaly; D014463:Ultrasonography; D052878:Urolithiasis / Q000150:complications* / Q000000981:diagnostic imaging