Urinary Tract Infection Paediatric UTI Estimated reading: 1 minute 470 views Contributors 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 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 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 No right ureteric dilatation Post void examination showing a completely emptied urinary bladder Normal right kidney with no hydronephrosis Hydronephrotic left kidney no Paediatric UTI - PreviousUTI in a Paediatric PatientNext - Paediatric UTIBilateral Calcification at the Vesicoureteric Junctions Published on: October 8, 2024
