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Updated on November 26, 2024

Paediatric UTI

Clinical History

A 7-year old female presented with recurrent UTI symptoms. Ultrasound or the renal tract was requested.

Case Description

Ultrasound revealed some floating debris in the urinary bladder. There was also evidence of focal hypertrophy of the bladder base surrounding the right and left ureteric orifices measuring 10 mm and 13 mm respectively. Multiple bladder jets were observed in the right ureteric orifice while none was seen in the left within a minute of close evaluation.

Diagnosis/ Discussion/ Treatment/ Follow up

The patient was commenced on antibiotic therapy in light of the ultrasound findings (UTI) and clinical manifestations.

Sonograms

Axial sonogram of the urinary bladder showing two echogenic protrusions (UTI) at the bladder base in the region of the ureteric orifices
Axial sonogram of the urinary bladder showing two echogenic protrusions at the bladder base in the region of the ureteric orifices
Power Doppler imaging showing no evidence of vascularity within the protrusions
Power Doppler imaging showing no evidence of vascularity within the protrusions
Power Doppler imaging showing evidence of good bladder jets on the right ureteric orifice, ruling out right inlet obstruction
Power Doppler imaging showing evidence of good bladder jets on the right ureteric orifice, ruling out right inlet obstruction
A dilated left distal ureter at 12 mm (AP) posterior to the urinary bladder
A dilated left distal ureter at 12 mm (AP) posterior to the urinary bladder
No right ureteric dilatation
No right ureteric dilatation
Post void examination showing a completely emptied urinary bladder
Post void examination showing a completely emptied urinary bladder
Normal right kidney with no hydronephrosis
Normal right kidney with no hydronephrosis
Hydronephrotic left kidney
Hydronephrotic left kidney

Published on: October 8, 2024

Author

Sonohive

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