Pear-shaped urinary bladder with vesicoureteral reflux

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Recurrent urinary tract infections.

Patient Data

Age: 70 years
Gender: Female

VCUG shows a pear-shaped urinary bladder.

Bilateral vesico-ureteral reflux (VUR) with mildly tortuous and moderately dilated ureters, with contrast reaching blunted dilated calyces (grade IV vesicoureteric reflux).

In addition, degenerative changes are seen in the lumbar spine.

Case Discussion

This case represents a pear-shaped urinary bladder with vesicoureteral reflux.

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