Ureterocele - bilateral

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Recurrent urinary tract infections.

Patient Data

Age: 30 years
Gender: Female
Fluoroscopy

Dilatation of the distal ureter is noted bilaterally surrounded by a thin lucent line resembling a cobra head sign.

The left kidney shows a duplex pelvicalyceal system.

Case Discussion

The cobra head sign is an indicator of an uncomplicated ureterocele.

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