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Posterior urethral valve with unilateral vesicoureteral reflux and patent urachus: A rare combination of urinary tract anomaliess.

Atobatele MO, Oyinloye OI, Nasir AA, Bamidele JO - Urol Ann (2015 Apr-Jun)

Bottom Line: It is a case of a 22-day-old full-term male child who presented with poor urinary stream and progressive abdominal distension of 5-day duration as well as leakage of clear fluid from umbilicus of 1-day duration.In addition, a grade V left VUR and a fistulous tract between the dome of the urinary bladder and the umbilicus, which was consistent with a patent urachus was demonstrated.In conclusion, this case demonstrates a rare combination of congenital urinary tract anomalies involving PUV, left VUR and patent urachus.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Paediatric Surgical Unit, University of Ilorin Teaching Hospital, Ilorin, Nigeria.

ABSTRACT
Posterior urethral valve (PUV) is a common cause of lower urinary tract obstruction in male infants with an incidence of 1:5000-8000. PUV continues to be a significant cause of morbidity and ongoing renal damage in infants and children. It can coexist with vesicoureteral reflux (VUR) in about 50% of cases and also with patent urachus in about one-third of cases. It is a case of a 22-day-old full-term male child who presented with poor urinary stream and progressive abdominal distension of 5-day duration as well as leakage of clear fluid from umbilicus of 1-day duration. Abdominopelvic ultrasonography showed bilateral hydronephrosis. Micturating cystourethrogram also showed features of bladder outlet obstruction and PUV. In addition, a grade V left VUR and a fistulous tract between the dome of the urinary bladder and the umbilicus, which was consistent with a patent urachus was demonstrated. In conclusion, this case demonstrates a rare combination of congenital urinary tract anomalies involving PUV, left VUR and patent urachus.

No MeSH data available.


Related in: MedlinePlus

Micturating cystourethrogram (lateral view) showing grade V vesicoureteral reflux and a contrast filled tract between the urinary bladder and the umbilicus consistent with patent urachus
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Figure 3: Micturating cystourethrogram (lateral view) showing grade V vesicoureteral reflux and a contrast filled tract between the urinary bladder and the umbilicus consistent with patent urachus

Mentions: Micturating cystourethrogram (MCUG) also showed thickened bladder wall, trabeculations, sacculations and diverticular formation. There was dilated crescentic filling defect at the distal end of a dilated posterior urethra consistent with PUV. Left VUR up to the calyces was also demonstrated (grade V) [Figure 2]. A contrast filled beaded fistulous tract was also seen between the dome of the urinary bladder and the umbilicus [Figure 3].


Posterior urethral valve with unilateral vesicoureteral reflux and patent urachus: A rare combination of urinary tract anomaliess.

Atobatele MO, Oyinloye OI, Nasir AA, Bamidele JO - Urol Ann (2015 Apr-Jun)

Micturating cystourethrogram (lateral view) showing grade V vesicoureteral reflux and a contrast filled tract between the urinary bladder and the umbilicus consistent with patent urachus
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4374267&req=5

Figure 3: Micturating cystourethrogram (lateral view) showing grade V vesicoureteral reflux and a contrast filled tract between the urinary bladder and the umbilicus consistent with patent urachus
Mentions: Micturating cystourethrogram (MCUG) also showed thickened bladder wall, trabeculations, sacculations and diverticular formation. There was dilated crescentic filling defect at the distal end of a dilated posterior urethra consistent with PUV. Left VUR up to the calyces was also demonstrated (grade V) [Figure 2]. A contrast filled beaded fistulous tract was also seen between the dome of the urinary bladder and the umbilicus [Figure 3].

Bottom Line: It is a case of a 22-day-old full-term male child who presented with poor urinary stream and progressive abdominal distension of 5-day duration as well as leakage of clear fluid from umbilicus of 1-day duration.In addition, a grade V left VUR and a fistulous tract between the dome of the urinary bladder and the umbilicus, which was consistent with a patent urachus was demonstrated.In conclusion, this case demonstrates a rare combination of congenital urinary tract anomalies involving PUV, left VUR and patent urachus.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Paediatric Surgical Unit, University of Ilorin Teaching Hospital, Ilorin, Nigeria.

ABSTRACT
Posterior urethral valve (PUV) is a common cause of lower urinary tract obstruction in male infants with an incidence of 1:5000-8000. PUV continues to be a significant cause of morbidity and ongoing renal damage in infants and children. It can coexist with vesicoureteral reflux (VUR) in about 50% of cases and also with patent urachus in about one-third of cases. It is a case of a 22-day-old full-term male child who presented with poor urinary stream and progressive abdominal distension of 5-day duration as well as leakage of clear fluid from umbilicus of 1-day duration. Abdominopelvic ultrasonography showed bilateral hydronephrosis. Micturating cystourethrogram also showed features of bladder outlet obstruction and PUV. In addition, a grade V left VUR and a fistulous tract between the dome of the urinary bladder and the umbilicus, which was consistent with a patent urachus was demonstrated. In conclusion, this case demonstrates a rare combination of congenital urinary tract anomalies involving PUV, left VUR and patent urachus.

No MeSH data available.


Related in: MedlinePlus