Ureteral reflux: grade 4

Case contributed by Dr Tim Luijkx

Patient Data

Age: 5
Gender: Female
Modality: Fluoroscopy

Grade 4 vesicoureteral reflux on right side.
There is a duplicate right ureter that fuses just before entering the bladder. This is only appreciable on the early images, as later on the bladder contains too much contrast to provide a clear view.

Case Discussion

This study illustrates the need for performing a dynamic study, the main reason being that reflux may only be visible at specific moments.
Also the fusion of the duplicate right system may not have been visible when no early images were acquired. Furthermore, coronal and lateral images can complement each other as coronal images will show the side of abnormalities, whereas lateral images provide a better view of the most distal ureter.

PlayAdd to Share

Case Information

rID: 30691
Case created: 28th Aug 2014
Last edited: 7th Jan 2016
System: Urogenital
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.