Ureterocele Diagnosed With Point-of-Care Ultrasound

Abstract

Sepsis is a major cause of mortality as a life-threatening condition that arises when the body's response to an infection injures its own tissue, and in the past decade, emphasis has been placed on early treatment to decrease mortality. In this case, we discuss the presentation of a young patient with sepsis due to acute complicated pyelonephritis with an obstructing ureterocele diagnosed by point-of-care ultrasound and explore the use of point-of-care ultrasound in sepsis.

Keywords: emergency department; pocus; sepsis; ultrasound; ureterocele.

Figure 1. Longitudinal view of the right kidney showing an anechoic area in the renal pelvis (arrow) suggestive of hydronephrosis

Figure 2. Longitudinal view of the right kidney with color flow showing the absence of flow on the anechoic renal pelvis (arrow) confirming mild to moderate hydronephrosis

Figure 3. Transverse view of the pelvis showing an intravesical ureterocele arising from the right UVJ

Color Doppler shows a partial flow of urine into the bladder but also regurgitation of urine at the right ureterovesical junction (arrow) UVJ: ureterovesical junction

Figure 4. Longitudinal view of the pelvis showing the intravesical ureterocele in the posterior aspect of the bladder (arrow)