Grade IV vesicoureteric reflux

Case contributed by Dr Ian Bickle

Presentation

Solitary left kidney and history of recurrent urinary tract infections.

Patient Data

Age: 4 years
Gender: Female
Fluoroscopy
Reflux into a mildly dilated left ureter and into a dilated renal pelvis, with enlargement and blunting of the calyces.
Diagram
The VU reflux grading system.

Case Discussion

This is a case of Grade IV vesicoureteric reflux.  It is of particular importance in this child with a single functioning kidney.

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