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A Case Report of Dextranomer/Hyaluronic Acid Copolymer (DefluxTM) Implant Seen on CT as Distal Ureteral Calcification: How to Differentiate between Distal Ureteral Stones from DefluxTM?

A Case Report of Dextranomer/Hyaluronic Acid Copolymer (DefluxTM) Implant Seen on CT as Distal... Injection of dextranomer/hyaluronic acid copolymer (Deflux<sup>TM</sup> or Dx/HA) has become a common urologic procedure for treatment of low to intermediate grade vesicoureteral reflux. We report a rare case of a child with history of Deflux<sup>TM</sup> injection presenting to our emergency department with abdominal pain and non-contrast CT findings of a distal ureteral calcification mimicking a ureteral stone. Emergency physicians and consulting urologists need to be aware of this phenomenon and consider calcified Deflux as a potential differential diagnosis when evaluating young adults with abdominal pain and CT findings suggestive of distal ureteral calcification. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Urology Karger

A Case Report of Dextranomer/Hyaluronic Acid Copolymer (DefluxTM) Implant Seen on CT as Distal Ureteral Calcification: How to Differentiate between Distal Ureteral Stones from DefluxTM?

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Publisher
Karger
Copyright
© 2010 S. Karger AG, Basel
ISSN
1661-7649
eISSN
1661-7657
DOI
10.1159/000323247
Publisher site
See Article on Publisher Site

Abstract

Injection of dextranomer/hyaluronic acid copolymer (Deflux<sup>TM</sup> or Dx/HA) has become a common urologic procedure for treatment of low to intermediate grade vesicoureteral reflux. We report a rare case of a child with history of Deflux<sup>TM</sup> injection presenting to our emergency department with abdominal pain and non-contrast CT findings of a distal ureteral calcification mimicking a ureteral stone. Emergency physicians and consulting urologists need to be aware of this phenomenon and consider calcified Deflux as a potential differential diagnosis when evaluating young adults with abdominal pain and CT findings suggestive of distal ureteral calcification.

Journal

Current UrologyKarger

Published: Jan 1, 2010

Keywords: Deflux®; Urinary stones; Urolithiasis; Vesicoureteral reflux; Dextranomer/Hyaluronic acid; Pediatric case; Ureteral stone

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