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Use of ultrasonography in the detection of ureteric reflux in children suspected of having urinary infection
Author(s) -
Hiraoka Masahiro,
Hashimoto Gotaro,
Hori Chikahide,
Tsukahara Hirokazu,
Konishi Yukuo,
Sudo Masakatsu
Publication year - 1997
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/(sici)1097-0096(199705)25:4<195::aid-jcu7>3.0.co;2-9
Subject(s) - cystography , medicine , vesicoureteral reflux , pyuria , reflux , urinary system , renal pelvis , urology , ultrasound , urinary bladder , cystoscopy , ultrasonography , ureter , surgery , radiology , disease
The present study investigated whether ultrasonography was effective in detecting ureteric reflux in children suspected of having urinary infection. Seventeen children with febrile episodes and pyuria were enrolled. The ultrasound examination revealed ballooning of the renal pelvis during bladder contraction in 4 children, dilatation of the distal ureters in 6, and small kidney in 2. Cystography was performed on the 6 children with these ultrasound abnormalities and 1 child with two episodes of suspected urinary infection. Four children showed reflux. All of the 4 children had been found to have renal pelvic ballooning on ultrasound. None of the children who did not undergo cystography had recurrence of urinary infection or significant bacteriuria during a median follow‐up period of 12 months. Thus, scanning during bladder contraction was effective in detecting significant ureteric reflux. © 1997 John Wiley & Sons, Inc. J Clin Ultrasound 25:195–199, 1997