Girl, 15 mo, was reffered to VCUG as a part of urologic workup, 2 mo after an episode of acute pyelonephritis. Primary goal of study was the identification of possible anatomical abnormality of urinary tract which predisposes to recurrent uroinfections.
Her clinical status, as well as laboratory tests, were normal.
Earlier US finding is indicative: "...collecting system of upper pole of right kidney shows double outline and is discretely separated... ureters are not visualized..."
- bilateral vesicoureteral reflux, grade III on the right and grade II on the left
- bifid right ureter with duplicated pyelocaliceal system ipsilaterally
- primary reflux megaureter on the right