Presentation
Left sided flank pain and microscopic hematuria. Usually fit and well.
Patient Data
Age: 13 years
Gender: Female
From the case:
Renal collecting system stone in cystinuria
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Large calcific density projected over the left kidney consistent with a renal calculus.
From the case:
Renal collecting system stone in cystinuria
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Single image from a renal ultrasound that confirms a renal calculus with posterior shadowing.
From the case:
Renal collecting system stone in cystinuria
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Large collecting system stone with several smaller areas of renal calcification bilaterally.
Case Discussion
It is unusual for large stones to develop in children in the absence of an underlying condition. The child was subsequently found to have cystinuria.