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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..."

VCUG shows:
- 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

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Comment by Dr ritu lokhande on June 21, 2011 at 1:39am

very nice case .


Comment by MOSAAB BABIKIR ABD ELLATIF AHMED on May 12, 2011 at 4:48pm

IVP showed:-

-Duplicated right ureter with extend above with separate renal pelvis the upper moiety calyces are not visualize,but  the lower moiety  calyces are seen normal appearance.

-the both right ureters are confluent at lower third pathway with dilated in caliber above that confluent, and running with average caliber below that till enerance in the UB.

-normal left renal pelvis and uerteric caliber,no duplication, there is colonic gas which masking the visualization of left kidney(not well prepared patient)

-Normal appearance of UB no filling defect or diverticulae are seen..


Comment by Daliborka Maric on February 22, 2010 at 5:49pm
nice case ;) !

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