Genitourinary system cases

1. Genitourinary system
CASES

2. CASE
1

3. Neurogenic bladder
• dysfunctional urinary bladder that results from an injury to
the central or peripheral nerves that control and regulate
urination.
D/Ds
• BOO
• PUV

4. CASE 2

5. Caudal regression
syndrome
• spectrum of structural defects of the caudal region.
Malformations vary from isolated partial agenesis of the
coccyx to lumbosacral agenesis.

6. CASE 3

7. Posterior urethral valves
• Posterior urethral valves (PUV's) are the most common
congenital obstructive lesion of the urethra and a
common cause of obstructive uropathy in infancy.

8. CASE 4

9. Hutch diverticulum
• A Hutch diverticulum is a congenital bladder diverticulum,
seen at vesicoureteric junction.

10. CASE 5

11. Sacro-coccygeal teratoma
• It refers to a teratoma arising in the sacro-coccygeal region.
The coccyx is almost always involved.
• There are most often mixed solid/cystic

12. CASE 6

13. Xanthogranulomatous
Pyelonephritis
• chronic inflammatory disease almost always associated with
long-term obstruction
– Most often associated with Proteus or E. Coli infection
• Produces either diffuse (80-90%), or sometimes focal (10-
20%), destruction of the kidney
• Almost always unilateral
• Four times more common in women than men, usually 45-65
years of age

14. CASE 7

15. TUMOUR IN BLADDER
DIVERTICULUM

16. CASE8

17. Emphysematous
pyelonephritis
• It is a morbid infection of kidneys, with characteristic gas
formation within or around the kidneys

18. CASE 9

19. Bosniak 2 RENAL CYST
• minimally complex, a few thin (<1 mm) septa, thin
calcifications; non-enhancing high-attenuation (due to to
proteinaceous or haemorrhagic fluid) renal lesions of less than
3 cm are also included in this category; these lesions are
generally well marginated
• work-up: nil
• percentage malignant: ~0%

20. CASE 10

21. CT Classification of Renal
Trauma
• Grade I
• Superficial cortical laceration, contusion and/or perirenal
hematoma
• Grade II
• Deep corticomedullary laceration involving the collecting
system
• Grade III
• Renal crush injury and/or main vascular pedicle injury
• Grade IV
• Injury of the renal pelvis or the ureteropelvic junction