Clinical experience with positional installation of contrast cystography and simultaneous Deflux injection in children with occult vesicoureteral reflux.

Forty-seven otherwise healthy children with a diagnosis of urinary tract infection and pyelonephritis were referred for evaluation following standard imaging studies which showed no renal abnormalities and a normal voiding cystourethrogram. All were evaluated with positional instillation of contrast at the time of cystoscopy using spot fluoroscopy to detect vesicoureteral reflux. Simultaneous Deflux injection was performed if reflux was demonstrated at cystoscopy.

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

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.

A rare case of positive prenatal intervention by early delivery for fetal hydronephrosis.

A male fetus followed for prenatal hydronephrosis thought to be bilateral ureteropelvic junction (UPJ) obstruction experienced severe acute oligohydramnios at 30 weeks gestation and was delivered at 32 weeks by Cesarean section. Postnatal bilateral UPJ obstruction was confirmed and anuria documented along with renal failure. Percutaneous nephrostomies were performed with reversal of the renal failure, and bilateral pyeloplasties were performed with a good outcome.