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Kidney Diseases

Opinion of Daughter with Caliectasis

04/07/2009

Question:

My 7 year old daughter recently had an ultrasound that showed caliectasis. In her life she has had an average of 2 UTI/year and within the last 6 mo. has been very pale, tired and multiple times daily complained of abdominal pain (behind the belly button). I have seen blood in her urine, but the urine test never grows a culture. She has been referred to a pediatric nephrology clinic, but it is a minimum of 6 month wait, and MD`s aren`t concerned. Her older sister had been diagnosed with gr 3 bilateral kidney reflux and had corrective surgery. Should I be concerned?

Answer:

With a diagnosis of UTI, an ultrasound that shows caliectasis, and a close family history of reflux, I would probably get a VCUG. Also, she needs an evaluation for dysfunctional elimination syndrome, with constipation and incontinence or infrequent voiding. Often these evaluations are performed by pediatric urologists. If you feel uncomfortable with your current arrangement, I would consult with a pediatric urologist.

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Response by:

Jack S Elder, MD, FACS, FAAP Jack S Elder, MD, FACS, FAAP
Clinical Professor of Urology
School of Medicine
Case Western Reserve University