Positioning the instillation of contrast 膀胱造影で診断しえたVUR 術後再発の1例

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書誌事項

タイトル別名
  • Postoperative Vesico Ureteral Reflux Recurrence Diagnosed by Positioning the Instillation of Contrast Cystography : A Case Report
  • Positioning the instillation of contrast ボウコウゾウエイ デ シンダン シエタ VUR ジュツゴ サイハツ ノ 1レイ

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抄録

A 5-year-old boy was diagnosed with febrile urinary tract infection (UTI) at the age of 2 months. Voiding cystourethrography (VCUG) showed grade IV reflux on the left side. Left ureterocystoneostomy was performed at 11 months because of recurrent febrile UTI under antibiotic prophylaxis. VCUG 1 year after surgery showed no reflux. The patient developed acute focal bacterial nephritis (AFBN) when he was 4 years and 2 months of age, and experienced 3 episodes of AFBNduring the following 9 months. The patient had normal urinary and bowel habits. Although VCUG showed no recurrence of reflux, AFBN developed in spite of antibiotic prophylaxis. Positioning the instillation of contrast (PIC) cystography under general anesthesia demonstrated the left occult reflux. Endoscopic injection with Deflux○R was performed simultaneously. PIC cystography is a useful examination in patients with persistent, repeated UTI episodes without any signs of reflux employing conventional diagnostic modalities.

収録刊行物

  • 泌尿器科紀要

    泌尿器科紀要 59 (11), 743-747, 2013-11

    泌尿器科紀要刊行会

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