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タイトル: | Positioning the instillation of contrast 膀胱造影で診断しえたVUR 術後再発の1例 |
その他のタイトル: | Postoperative Vesico Ureteral Reflux Recurrence Diagnosed by Positioning the Instillation of Contrast Cystography : A Case Report |
著者: | 福井, 真二 青木, 勝也 中井, 靖 松本, 吉弘 影林, 頼明 福田, 和由 三馬, 省二 |
著者名の別形: | Fukui, Shinji Aoki, Katsuya Nakai, Yasushi Matsumoto, Yoshihiro Kagebayashi, Yoriaki Fukuda, Kazuyoshi Samma, Shoji |
キーワード: | PIC cystography VUR Acute focal bacterial nephritis |
発行日: | Nov-2013 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 59 |
号: | 11 |
開始ページ: | 743 |
終了ページ: | 747 |
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. |
著作権等: | 許諾条件により本文は2014-12-01に公開 |
URI: | http://hdl.handle.net/2433/179605 |
PubMed ID: | 24322414 |
出現コレクション: | Vol.59 No.11 |
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