Presentation
Urinary abnormality had been found during pregnancy on an antenatal ultrasound examination.
Patient Data
Age: 10 months
Gender: Male
From the case:
Duplex collecting system
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Ultrasound examination shows a double pyelum in the left kidney, with mild dilatation.
From the case:
Duplex collecting system
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Grade 5 reflux with a double excretory system on the left side. Fusion of both ureters just proximal to the bladder (cystoscopy confirmed the presence of only two ostia in the bladder). Hydronephrosis.
Case Discussion
MCU clearly shows a double excretory system with high grade vesicoureteral reflux and hydronephrosis (grade 5 reflux).
Grade 5 – gross dilatation of the ureter, pelvis and calyces; ureteral tortuosity; loss of papillary impressions.
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