Paediatric ureteric calculi are an uncommon conditions encountered occasionally by adult urologists. Endoscopic treatment is the mainstay treatment of such cases. Nevertheless, a significant percentage of children with ureteric calculi present with other comorbidities which is usually overlooked by urologists. In this article, we describe a rare case of paediatric ureteric calculi associated with deep venous sinuses thrombosis of the brain evaluated through a multidisciplinary approach that led to the final diagnosis of Behçet's disease which is also a rare condition in paediatrics. The complexity of the case in view of the rarity of both diseases encouraged us to report it. We present an eight-year-old male referred to a tertiary centre as a case of mastoiditis, complaining of severe headache, diplopia, and high-grade fever. Magnetic resonance venography “MRV” with intravenous “IV” contrast showed left transverse sigmoid and internal jugular dural venous sinus thrombosis but no evidence of mastoiditis. Computed tomography “CT” scan of the abdomen and pelvis showed a large left distal ureteric stones up to 4 cm collectively associated with hydronephrosis in addition to a few stones in the left kidney. He was managed by different teams such as urology, otorhinolaryngology, neurology, and ophthalmology to sort out his mysterious presentation over a lengthy hospital admission. Upon further evaluation and multi-disciplinary approach, a diagnosis of Behçet's disease has been made. Paediatric ureteric calculi are an uncommon problems and frequently presented with other comorbidities. Multi-disciplinary team approach to such cases is recommended and may uncover a serious underlying disease or concomitant comorbidities.

Title

Palestinian Medical and Pharmaceutical Journal (PMPJ)

Publisher

An-Najah National University

Publisher Country

Palestine

Publication Type

Both (Printed and Online)

Volume

7

Year

2021

Pages

00-00