Presentation
Child with recurrent urinary tract infection
Patient Data
Dilation of the renal calyces.
Pre-void contrast filled bladder demonstrated bilateral vesico-ureteral reflux (VUR) with mildly tortuous and moderately dilated ureters, with contrast reaching blunted dilated calyces (low pressure VUR)
After voiding, the collecting systems fill even further, compatible with a component of high pressure VUR.
Findings are keeping with bilateral type 4 vesico-ureteral reflux.
Case Discussion
Four year old girl presented with second urinary tract infection. Therefore, a voiding cystourethrogram (VCUG) was performed. The images demonstrate bilateral pre-void grade 4 vesicoureteral reflux.