title: Delayed-onset Ureteral Obstruction and Calcification Masquerading as Renal Colic Following Deflux Injection.
abstract: Vesicoureteral reflux is a common disorder in children, and its management has changed entirely as a result of widespread use of endoscopy procedures to inject filler materials. Complications with this type of treatment, particularly ureteral obstruction, are rare. Very few patients with delayed obstruction have been reported in the literature. We here present the case of an 8-year-old girl who exhibited symptoms of febrile renal colic and renal distension more than 5 years after undergoing endoscopic treatment. This is the first reported case of atypical late presentation combining pyelonephritis with ureteral obstruction and calcification.
authors.affiliation: Service D'Urologie, Hôpital Universitaire, Limoges, France.
authors.forename: Julie
authors.initials: J
authors.lastname: Romain
authors.affiliation: Service de Chirurgie Pédiatrique, Hôpital des Enfants, Limoges, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Fourcade
authors.affiliation: Service D'Urologie, Hôpital Universitaire, Limoges, France.
authors.forename: Joachim
authors.initials: J
authors.lastname: Centi
authors.affiliation: Service de Médecine Nucléaire, Hôpital Universitaire, Limoges, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Blanc
authors.affiliation: Service de Radiologie Pédiatrique, Hôpital des Enfants, Limoges, France.
authors.forename: Mathilde Casson
authors.initials: MC
authors.lastname: Masselin
authors.affiliation: Service D'Urologie, Hôpital Universitaire, Limoges, France.
authors.forename: Victor
authors.initials: V
authors.lastname: Lescure
authors.affiliation: Service de Pédiatrie, Hôpital des Enfants, Limoges, France.
authors.forename: Vincent
authors.initials: V
authors.lastname: Guigonis
authors.affiliation: Service D'Urologie, Hôpital Universitaire, Limoges, France.
authors.forename: Aurélien
authors.initials: A
authors.lastname: Descazeaud
authors.affiliation: Service de Chirurgie Pédiatrique, Hôpital des Enfants, Limoges, France. Electronic address: q.ballouhey@gmail.com.
authors.forename: Quentin
authors.initials: Q
authors.lastname: Ballouhey
mesh_terms: D002114:Calcinosis / Q000175:diagnosis* / Q000209:etiology; D002675:Child, Preschool; D003911:Dextrans / Q000008:administration & dosage* / Q000009:adverse effects; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006820:Hyaluronic Acid / Q000008:administration & dosage* / Q000009:adverse effects; D007267:Injections; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology; D019736:Prostheses and Implants / Q000009:adverse effects; D056844:Renal Colic / Q000175:diagnosis* / Q000209:etiology; D013997:Time Factors; D014515:Ureteral Diseases / Q000175:diagnosis / Q000209:etiology; D014517:Ureteral Obstruction / Q000175:diagnosis* / Q000209:etiology; D014718:Vesico-Ureteral Reflux / Q000601:surgery*
chemical_list: D003911:Dextrans; C094535:deflux; D006820:Hyaluronic Acid