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Ectopic ureter associated with renal dysplasia
J E Cabay1, S Lamy, R F Dondelinger
1Department of Radiology, Hospital Center, Luxembourg.
Summary
Recurrent orchi-epididymitis and septicemia in two patients were linked to a rare congenital anomaly: unilateral renal agenesis with a blind ectopic ureter opening into the seminal vesicle.
Area of Science:
- Urology
- Radiology
- Pathology
Background:
- This study investigates a rare congenital anomaly presenting in adult patients.
- Two cases are presented involving recurrent orchi-epididymitis and septicemia.
Observation:
- Digital rectal examination revealed a right pararectal mass in both patients.
- CT imaging demonstrated unilateral renal agenesis, a dilated blind ectopic ureter, and an enlarged pseudocystic seminal vesicle.
- MRI confirmed hyperintense content within the ureter and seminal vesicle.
Findings:
- Imaging findings were consistent with deferentography.
- Histological examination confirmed renal dysplasia with a blind ectopic ureter terminating in the seminal vesicle.
Implications:
- This highlights a rare urogenital malformation that can lead to significant clinical complications in adults.
- Early recognition through imaging and clinical correlation is crucial for appropriate management.