Tuesday, March 8, 2011

Photo Quiz 2

8 year old male patient with h/o recurrent UTI since childhood was investigated and the following findin was documented. What is the study? What are the findings? what is the probable diagnosis?

This is a MCUG. It shows gross VUR into the left kidney with non-visualization of the right kidney. The Urinary baldder shows trabeculations due to the chronic obstruction and the posterior urethra is dilated. The DTPA scan showed two kidney with grossly reduced GFR. Cystoscopy was done which showed PUV. The child has already developed severe growth retardation and CKD

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