Posterior urethral valve - antenatal ultrasound

Case contributed by Maulik S Patel , 6 Jun 2017
Diagnosis almost certain
Changed by Mostafa Elfeky, 3 Nov 2021

Updates to Case Attributes

Age changed from 25 yrs to 25 years.
Body was changed:

Asymptomatic 2nd gravida patient presents for 20-week anomaly scan. There is mild oligohydramnios. There is the presence of a keyhole sign favouring posterior urethral valve.

  • -<p>Asymptomatic 2nd gravida patient presents for 20-week anomaly scan. There is mild oligohydramnios. There is the presence of a keyhole sign favouring posterior urethral valve.</p>
  • +<p>Asymptomatic 2nd gravida patient presents for 20-week anomaly scan. There is mild oligohydramnios. There is the presence of a keyhole sign favouring <a title="Posterior urethral valves" href="/articles/posterior-urethral-valves">posterior urethral valve</a>.</p>

Updates to Study Attributes

Findings was changed:

There is a singleton intrauterine pregnancy with maturity concordant with gestational age. There is mild oligohydramnios (without history of leaking). 

Fetal urinary bladder is over-distended (35 cc volume). It shows mural trabeculations. There is bilateral hydronephrosis. There is no peri-nephric collection/urinoma. Neither ureter could be traced.

There is another finding of peri-cardialpericardial effusion.

Mild oligohydramnios (AFI=7).

Rest of fetal anatomical survey is normal (not uploaded).

Images Changes:

Image Diagram ( update )

Description was removed:
Mild oligohydraimnios. AFI - 7.

Image Diagram ( update )

Description was removed:
Peri-cardial effusion.

Image Diagram ( update )

Description was removed:
Over-distended urinarry bladder ( 35 cc ) with wall thickening / trabeculations. Bilateral hydronephrosis.

Image Diagram ( update )

Description was removed:
Over-distended urinarry bladder and dilated posterior urethra appear like a penguin or kiwi.

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