A small kidney stone in a 9-year-old girl led to life-threatening complications.

Urologists at the Children's Medicine Center (Okhmatdyt Hospital) successfully performed two endoscopic procedures on a 9-year-old girl from Transcarpathia. Following a car accident, a stone formed in her kidney due to prolonged treatment, leading to serious complications that could have resulted in her death.

More than a year ago, a car crashed into the public transport stop where the girl was waiting. As a result of the accident, she sustained a complex pelvic fracture. She spent over six months in a local hospital while her pelvic bones healed. Due to the extended treatment, a stone formed in her kidney amid metabolic processes. According to the girl's grandfather, local doctors indicated that there was a life-threatening risk and gave no optimistic forecasts. Friends who had been treated in Lviv advised them to go to Okhmatdyt Hospital, the medical facility reported.

“This is a very complicated case. Due to the injury and prolonged bed rest, the girl developed a calcium metabolism disorder, resulting in a kidney stone. Due to the specific positioning of the bones after the fracture, the ureter was compressed, which made it impossible for the 6-7 mm stone to pass. The stone blocked the ureter, leading to serious complications. The kidney ceased to function, urine was not passing, septic processes began, and her temperature reached 40 degrees,” said urologist Ihor Grymak from the center.

The urologists decided to perform two endoscopic surgeries to assist the child.

“We opted for an endoscopic approach, using a loop to move the stone and place a ureteral catheter into the kidney. This was necessary to relieve the kidney and restore urine flow. We managed to suppress the inflammatory process. Next, we monitored the girl's condition using ultrasound. During the second surgical intervention, we performed cystoureteroscopy, which is an endoscopic examination of the bladder and ureter. The stone was no longer present,” the doctor stated.

According to Ihor Grymak, had they not unblocked the kidney, she could have completely lost its function due to complications. The girl already had a Pseudomonas aeruginosa infection, which is largely resistant to most antibiotics.

After the surgery, the girl underwent additional conservative litholytic therapy to dissolve the salts. She has since been discharged from the hospital and is now at home.