PMC2878426_01
(A) A retrograde contrast study showing reflux into the right ureter and hypoplastic bladder; (B) IVU: Bilateral hydronephrosis, hydroureter, and small capacity bladder
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On micturating cystourethrogram catheter went into the left ureter, which was dilated; however, there was contrast overspill into the bladder and reflux was seen into the right ureter, which was also dilated [Figure 1A]. An intravenous pyelography showed good contrast excretion on both sides and dilated ureters were seen up to the lower part of the bladder, which was faintly visualized with the contrast [Figure 1B].
Computed tomography scan: Bilaterally dilated ureters with a small bladder
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A computed tomography (CT) scan showed a low capacity bladder with urogenital sinus [Figure 2].
Cystoscpy (A) Urogenital sinus; (B) Bladder neck with bilateral dilated ureteric orifices opening in urogenital sinus; (C) Grossly incompetent bladder neck; (D) Poorly developed trigone
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On urogenital sinus scopy and cystoscopy [Figure 3], both dilated ureteric orifices were found to open into vaginalized urogenital sinus by the side of the bladder neck.