Please use this identifier to cite or link to this item: http://hdl.handle.net/1822/58218

TitleLate presentation of vesicoureteral reflux: An unusual cause of pyelonephritis in adults
Author(s)Pereira, Bernardo
Macedo, Catarina
Anacleto, Sara
Gonçalves, Marina
Lima, Estêvão Augusto Rodrigues de
Dias, Emanuel Carvalho
KeywordsAdult vesicoureteral reflux
Recurrent pyelonephritis
Bulking agent
Issue date2018
PublisherElsevier
JournalInternational Journal of Surgery Case Reports
CitationPereira, B., Macedo, C., Anacleto, S., Gonçalves, M., Lima, E., & Carvalho-Dias, E. (2018). Late presentation of vesicoureteral reflux: An unusual cause of pyelonephritis in adults. International journal of surgery case reports, 53, 238-241
Abstract(s)Vesicoureteral reflux (VUR) corresponds to the reflux of urine from the bladder into the upper urinary system. It can be a congenital or an acquired anomaly and although its incidence is high in children it is uncommon in the adult life. One of its presentations in the adult population is the presence of recurrent Pyelonephritis.
Introduction: Vesicoureteral reflux (VUR) corresponds to the reflux of urine from the bladder into the upper urinary system. It can be a congenital or an acquired anomaly and although its incidence is high in children it is uncommon in the adult life. One of its presentations in the adult population is the presence of recurrent Pyelonephritis. Case presentation: Here we report a case of an adult patient with repetitive uncomplicated pyelonephritis caused by VUR. VUR was successfully managed endoscopically with subureteral injection of a bulking agent. A literature review of adult presenting VUR was performed. Discussion: The first presentation of VUR in the adult life is rare. One of the most typical presentation is the presence of recurrent uncomplicated Pyelonephritis. Although no guidelines exists to study the presence of VUR in adult patients with Pyelonephritis, in the presence of several recurrent episodes of Pyelonephritis we should think in VUR as a possible cause. Even in adults, endoscopic management of VUR is an effective treatment with low morbidity. Conclusion: VUR can first present in the adult life, with recurrent episodes of UTI. The diagnosis is a suspicious one and is confirmed by VUCG. VUR in adults can be effectively managed with endoscopic injection of bulking agents.
Typearticle
URIhttp://hdl.handle.net/1822/58218
DOI10.1016/j.ijscr.2018.10.058
ISSN2210-2612
e-ISSN2210-2612
Publisher versionhttps://www.sciencedirect.com/science/article/pii/S2210261218304826
Peer-Reviewedyes
AccessopenAccess
Appears in Collections:ICVS - Artigos em Revistas Internacionais com Referee

Files in This Item:
File Description SizeFormat 
pereira 2018.pdf975,04 kBAdobe PDFView/Open

Partilhe no FacebookPartilhe no TwitterPartilhe no DeliciousPartilhe no LinkedInPartilhe no DiggAdicionar ao Google BookmarksPartilhe no MySpacePartilhe no Orkut
Exporte no formato BibTex mendeley Exporte no formato Endnote Adicione ao seu Currículo DeGóis