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Single ectopic vaginal ureter diagnosed by computed tomography.

K Komatsu1, S Niikura, Y Maeda

  • 1Department of Urology, Kanazawa University School of Medicine, Kanazawa, Japan. kkomatsu@med.kanazawa-u.ac.jp

Urologia Internationalis
|December 11, 1999
PubMed
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A rare case of a single ectopic vaginal ureter in a young girl caused urinary incontinence. Enhanced CT imaging was crucial for diagnosing the associated hypoplastic kidney and ectopic ureter.

Area of Science:

  • Urology
  • Pediatric Urology
  • Medical Imaging

Background:

  • Urinary incontinence in children can stem from various congenital anomalies.
  • Ectopic ureters, where the ureter does not enter the bladder normally, are a known cause.

Observation:

  • A 6-year-old girl presented with symptoms of urinary incontinence.
  • Initial imaging (excretory urography and renal sonography) was inconclusive in identifying the underlying cause.
  • The dysplastic kidney was not visualized by standard methods.

Findings:

  • Enhanced computed tomography (CT) provided definitive diagnosis.
  • The imaging revealed a poorly functioning, hypoplastic kidney.
  • A single ectopic ureter terminating in the vagina was clearly identified.

Related Experiment Videos

  • The vagina was also visualized filled with contrast medium.

    • Implications:

    • This case highlights the diagnostic utility of enhanced CT in complex pediatric urogenital anomalies.
    • Accurate diagnosis of ectopic ureters is essential for appropriate management and preventing complications.
    • Early identification can lead to timely surgical intervention and improved outcomes for children with urinary incontinence.