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Single-system cecoureterocele
M Rohatgi1, D K Gupta, P Subbarao
1Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi.
Journal of Pediatric Surgery
|September 1, 1992
Summary
A rare cecoureterocele case in a child with a dysplastic kidney was successfully treated with staged surgery. This report details the diagnosis and management of this uncommon congenital urinary tract anomaly.
Area of Science:
- Pediatric Urology
- Congenital Anomalies
- Nephrology
Background:
- Ureteroceles are cystic dilations of the ureter within the bladder.
- Cecoureteroceles, a rare subtype, involve an ectopic ureteral opening into the cecum.
- Association with renal dysplasia is infrequent but significant.
Observation:
- A 4-year-old girl presented with symptoms necessitating investigation.
- Preoperative imaging and endoscopy revealed a ureterocele but missed its cecal extension.
- Diagnosis of cecoureterocele was confirmed intraoperatively during transvesical surgery.
Findings:
- The patient had a single system cecoureterocele and an ipsilateral dysplastic kidney.
- Surgical management involved a staged approach: right nephroureterectomy followed by cecoureterocele deroofing.
- Complete symptom resolution was achieved postoperatively.
Implications:
- This case highlights the diagnostic challenges of cecoureteroceles, particularly their cecal extension.
- It underscores the importance of thorough intraoperative assessment in suspected cases.
- This is the second reported case of single-system cecoureterocele in the English literature, adding to its rarity.
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