Unilateral vesicoureteric reflux

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Recurrent urinary tract infection.

Patient Data

Age: 15 years
Gender: Female
x-ray

Right-sided grade III vesicoureteral reflux with mild to moderate dilatation of the ureter and pelvicalyceal system is present.

Case Discussion

Grades of VUR

  • grade I: reflux limited to ureter
  • grade II: reflux into renal pelvis
  • grade III: mild dilatation of the ureter and pelvicalyceal system. 
  • grade IV : 
    • tortuous ureter with moderate dilatation. 
    • blunting of fornices but preserved papillary impressions. 
  • grade V : 
    • tortuous ureter with severe dilatation of the ureter and pelvicalyceal system. 
    • loss of fornices and papillary impressions

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