title: Posterior urethral valve with unilateral vesicoureteral reflux and patent urachus: A rare combination of urinary tract anomaliess.
abstract: Posterior urethral valve (PUV) is a common cause of lower urinary tract obstruction in male infants with an incidence of 1:5000-8000. PUV continues to be a significant cause of morbidity and ongoing renal damage in infants and children. It can coexist with vesicoureteral reflux (VUR) in about 50% of cases and also with patent urachus in about one-third of cases. It is a case of a 22-day-old full-term male child who presented with poor urinary stream and progressive abdominal distension of 5-day duration as well as leakage of clear fluid from umbilicus of 1-day duration. Abdominopelvic ultrasonography showed bilateral hydronephrosis. Micturating cystourethrogram also showed features of bladder outlet obstruction and PUV. In addition, a grade V left VUR and a fistulous tract between the dome of the urinary bladder and the umbilicus, which was consistent with a patent urachus was demonstrated. In conclusion, this case demonstrates a rare combination of congenital urinary tract anomalies involving PUV, left VUR and patent urachus.
authors.affiliation: Department of Radiology, Paediatric Surgical Unit, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
authors.forename: Mutiu O
authors.initials: MO
authors.lastname: Atobatele
authors.affiliation: Department of Radiology, Paediatric Surgical Unit, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
authors.forename: Olalekan I
authors.initials: OI
authors.lastname: Oyinloye
authors.affiliation: Department of Surgery, Paediatric Surgical Unit, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
authors.forename: Abdulrasheed A
authors.initials: AA
authors.lastname: Nasir
authors.affiliation: Department of Radiology, Paediatric Surgical Unit, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
authors.forename: John O
authors.initials: JO
authors.lastname: Bamidele
keywords: Posterior urethra valve; urachus; vesicoureteral reflux
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