Giant foreign body granuloma after endoscopic management of vesicoureteric reflux: a case report | ||||
| Annals of Pediatric Surgery | ||||
| Volume 18, Issue 1, January 2022 PDF (874.86 K) | ||||
| DOI: 10.1186/s43159-022-00220-0 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Saket Davera; Anjan Dhua   ; Shipra Agarwal; Mohamed Sulaiman
| ||||
| Abstract | ||||
| Background Deflux®, a dextranomer/hyaluronic acid copolymer, is extensively used as an endoscopic bulking agent for management of vesicoureteric reflux (VUR). The complications following Deflux® treatment as described in the literature are clinically insignificant transient obstruction and infections of the urinary tract. We report a rare case of a giant Deflux® granuloma presenting as an intraoperative surprise while undergoing open ureteric reimplantation for the failure of prior endoscopic management. Case presentation A 2.5-year-old boy with a primary VUR needed Anderson Hyne’s pyeloplasty of the affected side for concomitant pelviureteric junction obstruction. During removal of the double “J “stent in the postoperative period, subureteric Deflux® was injected, hoping that a more invasive procedure could be avoided. At a later date, as VUR persisted, an open ureteric reimplantation, was performed. Intraoperatively, a large Deflux® granuloma was noted at the site of previously injected site. Conclusions Giant Deflux® granuloma is a rare complication of this modality of VUR management. A focussed radiological assessment in such pateints during follow-up is required, especially those planned for surgical intervention in the vesicoureteric region later. | ||||
| Keywords | ||||
| Case Report; Dextranomer; Deflux; Vesicoureteric reflux; Foreign body granuloma | ||||
|
Statistics Article View: 9 PDF Download: 6 |
||||
