This is a micturating cystogram of a 8 months old male infant who was brought to the paediatric ward by the mother complaining of high fever which was lasting about 1week associated with excessive crying when micturates,freaquency,vomiting and decreased oral intake.On physical examination, tenderness in the costovertebral angle and suprapubic tenderness was elicited.Full blood count and Urine full report revealed UTI.


What would be the possible diagnosis in this infant?

ANSWER

The Correct Answer - This 8 months old male infant is having urinary tract infection secondary to posterior urethral valve

Micturating cystogram shows that visible bladder base tapers towards the prostatic urethra which abruptly dilates. The dilatation is non-uniform and shows the dual crescentic shadows from the contrast held back by the folds of the valves. These overlap the membranous urethra. Beyond the external sphincter, the calibre is normal.

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6 comments

  1. Posterior Urethral Valves??

     
  2. ganesh Says:
  3. phimosis leading to partial obstruction in micturition and hence leading to UTI

     
  4. Corazon Says:
  5. reflux uropathy leading to pyelonephritis

     
  6. Anonymous Says:
  7. post urethral valves leading to obstructive uropathy and pyelonepritis secndry to dat

     
  8. Anonymous Says:
  9. posterior urethral valve

     
  10. post urethral valve

     

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