Presentation
Recurrent episodes of urinary tract infections
Patient Data
Age: 8 years
Gender: Female
From the case:
Intrarenal reflux
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Info

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.