GOOD NEWS: We have fixed the DICOM uploading problem. New cases should work fine. More info radiopaedia.org/chat

Vesicoureteric reflux

Case contributed by Varun Babu
Diagnosis certain

Presentation

Recurrent urinary tract infection for evaluation

Patient Data

Age: 9 years
Gender: Male

Micturating cystourethrogram

Fluoroscopy

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 up to both pelvicalyceal systems 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. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.