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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
PubMed
Summary
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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.

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  • 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.