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[Diagnostic image (37). Bilateral ureteral reflux at the distal part in a bilaterally duplicated collecting system]

F J Beek1, T P de Jong

  • 1Afd. Radiologie, Universitair Medisch Centrum, Heidelberglaan 100, 3584 CX Utrecht.

Insights

A young girl experienced recurrent urinary tract infections. Imaging revealed bilateral reflux in a duplicated kidney system, a condition affecting urinary flow.

Area of Science:

  • Pediatric Urology
  • Medical Imaging
  • Congenital Abnormalities

Background:

  • Recurrent urinary tract infections (UTIs) are common in children.
  • Congenital urinary tract anomalies can predispose to UTIs.

Observation:

  • A 5-year-old female presented with a history of repeated UTIs.
  • A voiding cystourethrogram (VCUG) was performed for diagnostic evaluation.

Findings:

  • The VCUG demonstrated bilateral vesicoureteral reflux (VUR).
  • The reflux was specifically located in the lower poles of a bilaterally duplicated collecting system.

Implications:

  • This case highlights the association between duplicated collecting systems and VUR.
  • Early diagnosis and management of VUR in duplicated systems are crucial for preventing renal damage.

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