Calcification in a Deflux bleb thought to be a ureteral calculus in a child.

Abstract

A child admitted for abdominal pain was evaluated with an abdominal computed tomography scan. Calcification was noted at the ureterovesical junction. The child had undergone successful bilateral Deflux injection 3 years earlier. No hydronephrosis was noted and an intravenous pyelogram was normal. Ureteroscopy revealed no intraluminal stones, and a follow-up scan showed the lesion to be still present and unchanged. This case illustrates that calcifications within a Deflux bleb can be mistaken for a ureteral calculus, and the entire clinical picture should be kept in mind when evaluating a patient with abdominal pain. Due to the widespread use of Deflux to treat vesicoureteral reflux, this phenomenon may be seen more frequently as this population ages.

• Authors: H Norman Noe
• Journal: Journal of pediatric urology (J Pediatr Urol) Vol. 4 Issue 1 Pg. 88-9 (Feb 2008) ISSN: 1873-4898 [Electronic] England
• PMID: 18631899 (Publication Type: Case Reports, Journal Article)

Chemical References

• Dextrans
• deflux
• Hyaluronic Acid

Topics

• Abdominal Pain (etiology)
• Blister (pathology)
• Calcinosis
• Child
• Dextrans
• Female
• Humans
• Hyaluronic Acid
• Prostheses and Implants (adverse effects)
• Tomography, X-Ray Computed
• Ureteral Calculi (diagnosis)
• Vesico-Ureteral Reflux (surgery)