All issues > Volume 30(7); 1987

Case Report

J Korean Pediatr Soc. 1987;30(7):805-811. Published online July 31, 1987.

Intermittent Hydronephrosis.

Hong Kun Kim¹, Woo Gill Lee¹, Soo Jee Moon¹

¹Department of Pediatrics, Hanyang University College of Medicine, Seoul Korea

Abstract

Episodic flank or abdominal pain with or without nausea and vomiting is most common manifesta- tion of intermittent hydronephrosis. Between episodes of pain, the patient may be asymptomaitc and intravenous urogram usually will be normal. This condition is diagnosed by intravenous urogram or ultrasonogram taken either during episodes of pain or after hydronephrosis precipitated by use of duretics or ingestion of alcoholic beverage, particulary beer or large volume of water. We have experienced a patient who had intermittent and recurrent right flank pain with vomiting. We diagnosed intermittent hydronephrosis with vesicoureteral reflux by intravenous pyelography, ultrasonography, voiding cystourethrography, and retrograde pyelography and made a brief review of related literatures.

Keywords :Abdominal pain; Intermittent hydroenephrosis; Intravenous pyelography; Retrograde pyelography; Ultrasonography; Ureteropelvic junction obstruction; Vesicoureteral reflux; Voiding cystourethrography.