Kidney Stone In A 7-Year Old Girl

A 7-year old girl presented with abdominal pain of 1 year duration radiating to the flank. The pain did not respond to antibiotics until the patient presented at the Olabisi Onabanjo University Teaching Hospital. Physical examination and radiologic investigations led to the diagnosis of renal calculus at the pelvi-ureteric junction and causing obstructive uropathy. Surgical intervention was delayed due to the preference of the patient's father for lithotripsy, which is not available in Nigeria. The patient subsequently experienced a I year delay before travelling to India for lithotripsy, with resultant worsening of the renal symptoms.