Incidental finding of Posterior Urethral Valve during routine antenatal ultrasound: Diagnostic imaging case report in Botswana

Authors

  • Cuthbert Mulenga Ghanzi Primary Hospital, Ghanzi District, Botswana
  • Osward Bwanga Midland University Hospital Tullamore, Radiology Department, Co. Offaly, Ireland
  • Thabo A. Moloi Princess Marina Hospital, Department of Obstetrics and Gynaecology, Gaborone, Botswana

DOI:

https://doi.org/10.55320/mjz.49.3.369

Keywords:

Anhydromnios, Antenatal ultrasound, Hydroureteronephrosis, Posterior urethral valve (PUV)

Abstract

Medical ultrasound is a particularly useful imaging method used in the diagnosis of urinary foetal anomalies. One such foetal anomaly is the posterior urethral valve (PUV), which is a congenital malformation of the male urethra occurring early in gestation life. PUV is a common cause of obstructive uropathy in males and foetal death during pregnancy. We report from a medical imaging perspective on a rare and high-risk case of a PUV detected during routine antenatal ultrasound imaging in Botswana. The first scan performed at 16 weeks of gestation age was unremarkable. However, subsequent antenatal ultrasound scans at and after 20 weeks demonstrated bilateral hydronephrosis, distended ureters, and a urinary bladder which gradually increased with the gestation age. There was also a corresponding reduction in amniotic fluid and foetal movements. As a result of these complications, the pregnancy was classified as a “high-risk.” At 30 weeks, spontaneous labour occurred and a fresh still birth was delivered.

Downloads

Download data is not yet available.

Published

14-08-2023

Issue

Section

Original Article

How to Cite

Incidental finding of Posterior Urethral Valve during routine antenatal ultrasound: Diagnostic imaging case report in Botswana. (2023). Medical Journal of Zambia, 49(3), 273-279. https://doi.org/10.55320/mjz.49.3.369

Similar Articles

1-10 of 63

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)

1 2 > >>