Unilateral vesicoureteric reflux

Case contributed by Dr Aditya Shetty

Presentation

h/o urinary tract infection

Patient Data

Age: 5
Gender: Female
X-ray

Spot film taken during VCUG shows unilateral grade 4 vesicoureteral reflux

Case Discussion

Grades of VUR

  • grade 1 : reflux limited to ureter
  • grade 2 : reflux into renal pelvis
  • grade 3 : mild dilatation of ureter and pelvicalyceal system. 
  • grade 4 : 
    • tortuous ureter with moderate dilatation. 
    • blunting of fornicies but preserved papillary impressions. 
  • grade 5 : 
    • tortuous ureter with severe dilatation of ureter and pelvicalyceal system. 
    • loss of fornicies and papillary impressions
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Case information

rID: 27221
Case created: 23rd Jan 2014
Last edited: 1st Oct 2015
System: Urogenital
Inclusion in quiz mode: Included

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