Intrarenal reflux

Case contributed by Dylan Kurda
Diagnosis certain

Presentation

Recurrent episodes of urinary tract infections

Patient Data

Age: 8 years
Gender: Female
Fluoroscopy

Grade III Vesicoureteric reflux (VUR) on the right side (mild dilatation of the right ureter and pelvicalyceal system). Significant right sided Intrarenal Reflux (IRR) is also noted. 

Case Discussion

Intrarenal reflux (IRR) involves intrarenal extension of the vesicoureteral reflux (VUR) into the tubular system of the kidney. This condition is diagnosed by voiding cystourethrography (VCUG). IRR is the main cause of renal injury in children with VUR and may result in hypertension and reflux nephropathy with renal scars.

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