Infant with a urinary tract infection who is post repair of an inferior abdominal wall defect at birth

VCUG of grade V vesicoureteral reflux in a patient with bladder exstrophy
AP image from a voiding cystourethrogram shows reflux of contrast into extremely dilated renal collecting systems and ureters bilaterally. There is also diastasis of the symphysis pubis.

The diagnosis was bilateral Grade V vesicoureteral reflux in a patient with bladder exstrophy.