Presentation
Infant with urinary tract infection. No previous imaging.
Patient Data
Age: 45 days
Gender: Male
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Ultrasound shows thickened and trabeculated bladder wall and bilateral hydroureteronephrosis.
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Perineal view of the urethra shows grossly dilated posterior urethra with a valve noted in the distal posterior urethra.
Micturating cystourethrogram
From the case:
Posterior urethral valve (perineal ultrasound)
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MCU image shows thickened and trabeculated bladder with dilated posterior urethra giving a "spinning top" appearance. On the video recording, posterior urethral valve shows a diaphragm like appearance on the MCU with a thin anterior urinary stream.
Case Discussion
The patient underwent surgery and was confirmed to have a posterior urethral valve and underwent resection of the valve.
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