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KMID : 1218220120040010029
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Korean Journal of Pediatric Urology
2012 Volume.4 No. 1 p.29 ~ p.31
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Arterial Bleeding during Endoscopic Injection Therapy in Children with Vesicoureteral Reflux
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Lee Yong-Seung
Im Young-Jae
Lee Hye-Young
Hong Chang-Hee
Han Sang-Won
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Abstract
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We report our unique experience with arterial bleeding and its management during endoscopic injection of Dextranomer/Hyaluronic Acid (Dx/HA) Copolymer (Deflux, Q-Med Scandinavia, Uppsala, Sweden) in children with vesicoureteral reflux (VUR). Bilateral Dx/HA copolymer injection was performed on a 40-month-old male child with left grade IV VUR and a history of right grade IV VUR. After 1.0 cc Dx/HA copolymer subureteric injection to left side, pulsatile arterial bleeding was noted at the injection site. An additional subureteric injection of 0.2 cc Dx/HA copolymer was performed and the bleeding was stopped. Additional injection of Dx/HA copolymer could be considered as an emergent treatment option in the situation of abrupt arterial bleeding.
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KEYWORD
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Bladder, Ureter, Vesico-ureteral reflux, Blood loss, Surgical
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