Vesicoureteric reflux

Case contributed by Dr Varun Babu

Presentation

Recurrent urinary tract infection for evaluation

Patient Data

Age: 9
Gender: Male
Fluoroscopy

Micturating cystourethrogram

Under strict aseptic precautions, the urinary bladder was catheterized, contrast administered and spot films taken under fluoroscopy.

Filling phase revealed passive reflux into both ureters. 

Voiding phase showed reflux extending proximally upto both pelvicalyceal system with right ureter appearing dilated and tortuous. 

Urinary bladder appears trabeculated. 

Case Discussion

This case demonstrates bilateral vesicoureteric reflux - right grade III and left grade II, with bladder trabeculation.

Serial voiding cystourethrogram is the standard procedure for evaluating and prognosticating urinary tract infections. 

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Case information

rID: 19476
Case created: 13th Sep 2012
Last edited: 23rd Feb 2017
Inclusion in quiz mode: Included

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