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

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dc.contributor.authorPereira, Bernardopor
dc.contributor.authorMacedo, Catarinapor
dc.contributor.authorAnacleto, Sarapor
dc.contributor.authorGonçalves, Marinapor
dc.contributor.authorLima, Estêvão Augusto Rodrigues depor
dc.contributor.authorDias, Emanuel Carvalhopor
dc.date.accessioned2019-01-15T16:20:05Z-
dc.date.available2019-01-15T16:20:05Z-
dc.date.issued2018-
dc.identifier.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, 238-241por
dc.identifier.issn2210-2612-
dc.identifier.urihttp://hdl.handle.net/1822/58218-
dc.description.abstractVesicoureteral 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.por
dc.description.abstractIntroduction: 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.por
dc.language.isoengpor
dc.publisherElsevierpor
dc.rightsopenAccesspor
dc.subjectAdult vesicoureteral refluxpor
dc.subjectRecurrent pyelonephritispor
dc.subjectBulking agentpor
dc.titleLate presentation of vesicoureteral reflux: An unusual cause of pyelonephritis in adultspor
dc.typearticlepor
dc.peerreviewedyespor
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S2210261218304826por
degois.publication.firstPage238por
degois.publication.lastPage241por
degois.publication.volume53por
dc.identifier.essn2210-2612-
dc.identifier.doi10.1016/j.ijscr.2018.10.058por
dc.subject.fosCiências Médicas::Medicina Básicapor
dc.description.publicationversioninfo:eu-repo/semantics/publishedVersionpor
dc.subject.wosScience & Technologypor
sdum.journalInternational Journal of Surgery Case Reportspor
Appears in Collections:ICVS - Artigos em Revistas Internacionais com Referee

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