Presentation
Evaluated for fever
Patient Data
Axial portal venous phase inadvertently acquired during micturition showing urine in posterior urethra, fluid-filled distended vaginal canal and introitus, in keeping with vesicovaginal reflux.
Postal venous phase sagittal MPR inadvertently acquired during micturition showing urine in the posterior urethra and fluid-filled distended vaginal canal, in keeping with vesicovaginal reflux.
Sagittal MPR in the excretory phase (post voiding) shows the reduced volume of urine in the bladder and near complete resolution of hydrocolpos. No contrast is seen in the vaginal canal ruling out a vesicovaginal fistula.
The axial excretory phase (post voiding) shows a reduced volume of urine in the bladder and near complete resolution of hydrocolpos and no fluid at introitus. No contrast is seen in the vaginal canal ruling out a vesicovaginal fistula.
Note made of IUCD.
Case Discussion
Vesicovaginal reflux is a functional disorder that can be a normal finding or present as recurrent UTI or urinary incontinence.
Reflux occurs during micturition in a supine or upright position and is confirmed by complete resolution of hydrocolpos on post-void imaging.
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