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.
Davera, S., Dhua, A., Agarwal, S., & Sulaiman, M. (2022). Giant foreign body granuloma after endoscopic management of vesicoureteric reflux: a case report. Annals of Pediatric Surgery, 18(1), -. doi: 10.1186/s43159-022-00220-0
MLA
Saket Davera; Anjan Dhua; Shipra Agarwal; Mohamed Sulaiman. "Giant foreign body granuloma after endoscopic management of vesicoureteric reflux: a case report". Annals of Pediatric Surgery, 18, 1, 2022, -. doi: 10.1186/s43159-022-00220-0
HARVARD
Davera, S., Dhua, A., Agarwal, S., Sulaiman, M. (2022). 'Giant foreign body granuloma after endoscopic management of vesicoureteric reflux: a case report', Annals of Pediatric Surgery, 18(1), pp. -. doi: 10.1186/s43159-022-00220-0
VANCOUVER
Davera, S., Dhua, A., Agarwal, S., Sulaiman, M. Giant foreign body granuloma after endoscopic management of vesicoureteric reflux: a case report. Annals of Pediatric Surgery, 2022; 18(1): -. doi: 10.1186/s43159-022-00220-0