Late presentation of vesicoureteral reflux: An unusual cause of pyelonephritis in adults

Detalhes bibliográficos
Autor(a) principal: Pereira, B
Data de Publicação: 2018
Outros Autores: Macedo, C, Anacleto, S, Gonçalves, M, Lima, E, Carvalho-Dias, E
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.23/1294
Resumo: 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.
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spelling Late presentation of vesicoureteral reflux: An unusual cause of pyelonephritis in adultsRefluxo VesicoureteralPielonefriteINTRODUCTION: 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.Repositório Científico do Hospital de BragaPereira, BMacedo, CAnacleto, SGonçalves, MLima, ECarvalho-Dias, E2018-12-14T14:29:34Z2018-10-29T00:00:00Z2018-10-29T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.23/1294engInt J Surg Case Rep. 2018 Oct 29;53:238-2410.1016/j.ijscr.2018.10.058info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-21T09:03:12ZPortal AgregadorONG
dc.title.none.fl_str_mv Late presentation of vesicoureteral reflux: An unusual cause of pyelonephritis in adults
title Late presentation of vesicoureteral reflux: An unusual cause of pyelonephritis in adults
spellingShingle Late presentation of vesicoureteral reflux: An unusual cause of pyelonephritis in adults
Pereira, B
Refluxo Vesicoureteral
Pielonefrite
title_short Late presentation of vesicoureteral reflux: An unusual cause of pyelonephritis in adults
title_full Late presentation of vesicoureteral reflux: An unusual cause of pyelonephritis in adults
title_fullStr Late presentation of vesicoureteral reflux: An unusual cause of pyelonephritis in adults
title_full_unstemmed Late presentation of vesicoureteral reflux: An unusual cause of pyelonephritis in adults
title_sort Late presentation of vesicoureteral reflux: An unusual cause of pyelonephritis in adults
author Pereira, B
author_facet Pereira, B
Macedo, C
Anacleto, S
Gonçalves, M
Lima, E
Carvalho-Dias, E
author_role author
author2 Macedo, C
Anacleto, S
Gonçalves, M
Lima, E
Carvalho-Dias, E
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório Científico do Hospital de Braga
dc.contributor.author.fl_str_mv Pereira, B
Macedo, C
Anacleto, S
Gonçalves, M
Lima, E
Carvalho-Dias, E
dc.subject.por.fl_str_mv Refluxo Vesicoureteral
Pielonefrite
topic Refluxo Vesicoureteral
Pielonefrite
description 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.
publishDate 2018
dc.date.none.fl_str_mv 2018-12-14T14:29:34Z
2018-10-29T00:00:00Z
2018-10-29T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.23/1294
url http://hdl.handle.net/10400.23/1294
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Int J Surg Case Rep. 2018 Oct 29;53:238-24
10.1016/j.ijscr.2018.10.058
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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