title: [Postoperative vesico ureteral reflux recurrence diagnosed by positioning the instillation of contrast cystography : a case report].
abstract: 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 AFBN during 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.
authors: The Department of Urology, Nara Prefectural Nara Hospital.
authors: Shinji
authors: S
authors: Fukui
authors: Katsuya
authors: K
authors: Aoki
authors: Yasushi
authors: Y
authors: Nakai
authors: Yoshihiro
authors: Y
authors: Matsumoto
authors: Yoriaki
authors: Y
authors: Kagebayashi
authors: Kazuyoshi
authors: K
authors: Fukuda
authors: Shoji
authors: S
authors: Samma
mesh_terms: D002675:Child, Preschool; D003287:Contrast Media / Q000008:administration & dosage; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D011859:Radiography; D012008:Recurrence; D001743:Urinary Bladder / Q000000981:diagnostic imaging*; D014552:Urinary Tract Infections / Q000000981:diagnostic imaging; D014718:Vesico-Ureteral Reflux / Q000000981:diagnostic imaging* / Q000601:surgery
chemical_list: D003287:Contrast Media