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... reflux in a duplex system. Ultrasound controls were normal with no subsequent symptomatology to date. Antifungal treatment (fluconazole and caspofungin) was initiated. At seventh postoperative day, suspecting a possible complicated US, CT scan and MRI were performed showing a right subphrenic abscess and no abnormalities of the US [ Fig. 1]. ISSN 2148ISSN -2969 http://www.pediatricurologycasereports.com Failing to find a source of infection and suspecting the US might be acting as reservoir despite negative urine cultures, a cystoscopy was performed encountering a wide ureteral remnant. Mucosa biopsy showed Candida colonization and after 6 month of antifungal medication, ...
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Citations
... The most common complications related to the ureteral stump are UTI, empyema with or without calculi, pain, hematuria, malignant transformation, and fungal peritonitis. 6,7,[63][64][65][66][67][68] Different approaches for the management of symptomatic ureteral stumps have been introduced. While open and laparoscopic surgeries for stump removal are widely practiced, 6,64,65,69 some authors have also reported less invasive approaches. ...
... Endoscopic sub-ureteric injection of bulking agents, percutaneous irrigation and drainage with ureteral orifice closure, transurethral fulguration and a combination of endoscopic mucosal fulguration and bulking agent injection are the less invasive options. 64,66,[70][71][72] ...
Key Clinical Message
Etiology of urinary retention in pediatric age differs significantly from adults and the elderly. Therefore, a comprehensive diagnosis is crucial before specific treatment. Every effort must be made to minimize invasive procedures as far as possible in children.
Candidal peritonitis is a rare entity usually occurring in patients undergoing repeated peritoneal dialysis. The condition is associated with high morbidity and mortality despite aggressive anti‐fungal treatment; hence, establishing a prompt diagnosis is essential for better patient outcome. A case is described in a young female which was diagnosed promptly on cytological examination of the aspirate.
