Question

A 6- year old boy came with a history of recurrent urinary tract infections. Imaging was done and is shown below. What is the diagnosis?

• A. Vesicoureteric reflux
• B. Urinary bladder diverticulum
• C. Urinary bladder hernia
• D. Vesicocolic fistula

Answer 1

The Correct Option is A

The question involves diagnosing a 6-year-old boy with recurrent urinary tract infections based on imaging results. Among the options provided, the most likely diagnosis is Vesicoureteric reflux (VUR). This condition occurs when urine flows retrograde from the bladder into the ureters and sometimes even into the kidneys.

Here's why Vesicoureteric reflux is the correct answer:

• Recurrent infections: VUR is commonly associated with recurrent urinary tract infections in children, as the backflow of urine can introduce bacteria into the upper urinary tract.
• Imaging indications: VUR can be diagnosed using imaging studies such as a voiding cystourethrogram (VCUG), which would show contrast moving from the bladder back into the ureters during urination.
• Other options:
  • Urinary bladder diverticulum: Represents outpouching of the bladder wall, not commonly associated with UTIs in children.
  • Urinary bladder hernia: Involves protrusion of the bladder through a weak spot, rare and not typically linked with recurrent UTIs.
  • Vesicocolic fistula: An abnormal connection between the bladder and colon, presents with pneumaturia or fecaluria, not primarily with recurrent UTIs.