Vegetating Iodides after an Intravenous Pyelogram

Ph. Lauret; M. Godin; P. Bravard

doi:10.1159/000249474

Urinary Tract Infection

Pediatrics in Review ◽

10.1542/pir.1.5.133 ◽

1979 ◽

Vol 1 (5) ◽

pp. 133-136

Author(s):

Richard H. Rapkin

Keyword(s):

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Urine Culture ◽

Underlying Disease ◽

Chief Complaint ◽

Voiding Cystourethrogram ◽

Intravenous Pyelogram ◽

Rapid Generation

The identification of urinary tract infection (UTI) is important in order to reduce its morbidity, to prevent its sequelae, and to identify underlying disease. This article will discuss methods of diagnosis and management of UTI, screening for UTI, and the importance of further evaluation and follow-up of children with UTIs. Much of what we know about UTI is controversial and rapid generation of new knowledge may make current recommendations passé. CASE V.M., a 4-year-old girl, was brought to the physician's office with the chief complaint of frequency of urination. Nine months before she had been seen because of frequency and dysuria and two consecutive midstream urine cultures grew >100,000 colonies/ml of a Gramneative rod. Sulfisoxazole was begun and a urine culture was sterile 48 hours after therapy was begun. The dysuria and frequency disappeared; therapy was continued for ten days and a urine culture four days later was sterile. One week later a voiding cystourethrogram (VCU) and an intravenous pyelogram (IVP) were performed and were interpreted as normal. Repeat urine cultures at one, two, three, and six months after the episode were sterile. Two days before the child was seen, she had become irritable and wet the bed during sleep (she had been successfully trained at 27 months of age), and she began to void frequently during the next 24 hours.

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Early Detection of Wilms' Tumor in a Child with Hemihypertnophy and Ovarian Cysts

PEDIATRICS ◽

10.1542/peds.70.1.135 ◽

1982 ◽

Vol 70 (1) ◽

pp. 135-136

Author(s):

Deborah Tolchin ◽

Mordecai Koenigsberg ◽

Maria Santorineou

Keyword(s):

Case Report ◽

Early Detection ◽

Ovarian Cyst ◽

Wilms Tumor ◽

Present Report ◽

Ovarian Cysts ◽

Term Pregnancy ◽

Intravenous Pyelogram ◽

Routine Examination ◽

Bilateral Wilms Tumor

There have been many reports of the association between hemihypertrophy and intraabdominal masses, including Wilms' tumor, hepatoma, and adrenal cortical neoplasias.1 The present report describes a patient with segmental hemihypertrophy, multiple ovarian cysts, and bilateral Wilms' tumor and suggests a screening regimen for patients with hemihypertrophy. CASE REPORT The patient was a 9 lb 14 oz product of a term pregnancy, who was well until a mass filling the entire right side of the abdomen was discovered on routine examination at 4 months of age. Intravenous pyelogram (IVP) confirmed a large prerenal mass which on ultrasound was felt to be an ovarian cyst.

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Renal Ultrasound Evaluation of Urinary Tract Infections in Children

PEDIATRICS ◽

10.1542/peds.78.5.871 ◽

1986 ◽

Vol 78 (5) ◽

pp. 871-878

Author(s):

Candice E. Johnson ◽

Baz P. DeBaz ◽

Paul A. Shurin ◽

Rose DeBartolomeo

Keyword(s):

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Acute Infection ◽

Upper Urinary Tract ◽

Patient Acceptance ◽

Renal Ultrasound ◽

Intravenous Pyelogram ◽

Ultrasound Evaluation ◽

Tract Infections

Ultrasonography of the kidney may replace the intravenous pyelogram as the study of choice in identifying treatable abnormalities in children with urinary tract infection. In a series of 64 consecutive children with urinary tract infection in whom an intravenous pyelogram, renal ultrasound, and voiding cystogram were performed, only one treatable abnormality (calyceal dilation) was identified by intravenous pyelogram, and it was not detected by ultrasound. Eleven children showed vesicoureteral reflux on the cystogram. In an additional 43 children in whom intravenous pyelogram was done only if the ultrasound or cystogram were abnormal, there were five abnormal cystograms. Four treatable abnormalities were identified by ultrasound, and three were confirmed by the intravenous pyelogram. Ultrasound should replace the intravenous pyelogram in children with a normal cystogram because of its accuracy, safety, and high patient acceptance. We have also documented a significant volume increase with acute infection in one or both kidney(s) of those children having upper urinary tract infection. Fifteen of 18 children with upper urinary tract infection had volume increases of 30% on more in at least one kidney; whereas only four of 21 children with lower urinary tract infection had increases of greater than 30% (P < .005). Ultrasound volume measurements provide a new, noninvasive method for identifying the probable site of urinary tract infection.

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Double-dose intravenous pyelogram voiding urography to delineate stricture disease

BJU International ◽

10.1111/j.1464-410x.2003.04191.x ◽

2007 ◽

Vol 92 ◽

pp. e64-e65

Author(s):

D.O. KAVANAGH ◽

P. NEARY ◽

M.F. O'BRIEN ◽

D.W. MULVIN ◽

D.M. QUINLAN

Keyword(s):

Double Dose ◽

Intravenous Pyelogram

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Posterior Urethral Valves in Identical Twins

PEDIATRICS ◽

10.1542/peds.60.5.748 ◽

1977 ◽

Vol 60 (5) ◽

pp. 748-748

Author(s):

R. Lawrence Kroovand ◽

Neal Weinberg ◽

Abbas Emami

Keyword(s):

Case Report ◽

Cesarean Section ◽

Vesicoureteral Reflux ◽

Congenital Anomalies ◽

Monozygotic Twins ◽

Posterior Urethral Valves ◽

Identical Twins ◽

Voiding Cystourethrogram ◽

Intravenous Pyelogram ◽

Urethral Valves

Similar congenital anomalies in siblings are common.1-3 Enuresis,4 vesicoureteral reflux,5 and ureteroceles6 have been reported in identical twins, but posterior urethral valves have not been confirmed in proven monozygotic twins. CASE REPORT Twin boys, weighing 2,380 and 2,637 g, were born by repeat cesarean section to an 18-year-old, gravida 2, para 1 woman. The placenta was monochorionic and diamniotic. Immediately after birth, twin A developed grunting respiration and mild substernal retraction; a firm 6 x 5 cm suprapubic mass was palpated. Suprapubic aspiration produced clear urine, and catheterization decreased the size of the mass. A voiding cystourethrogram and an intravenous pyelogram were diagnostic of posterior urethral valves.

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CUSHING'S SYNDROME IN INFANCY

PEDIATRICS ◽

10.1542/peds.46.2.217 ◽

1970 ◽

Vol 46 (2) ◽

pp. 217-229

Author(s):

Michel G. Gilbert ◽

William W. Cleveland

Keyword(s):

Surgical Treatment ◽

Cushing’S Syndrome ◽

Adrenal Tumor ◽

Cushing's Syndrome ◽

Adrenal Steroids ◽

Careful Attention ◽

Intravenous Pyelogram ◽

Reasonable Expectation ◽

Surgical Cure ◽

Postoperative Administration

Cushing's syndrome in infancy is usually due to adrenal tumor which is often malignant. Three cases are described in which the disorder was due to adenoma and surgical cure was achieved. The clinical picture is strongly suggestive if not diagnostic. Its hallmark is generalized obesity with typical facies; also present are hypertension and signs of virilization. Striae were not found in our patients. Increased excretion of both 17-hydroxysteroids and 17-ketosteroids is characteristic; this excretion was not suppressed by dexamethasone in two of these patients in whom it was tested. Intravenous pyelogram was distinctly abnormal in all cases and indicated the presence and location of the tumor. The diagnosis can be made efficiently and surgical treatment can be promptly instituted with reasonable expectation of cure. Careful attention must be paid to preoperative and postoperative administration of adrenal steroids.

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