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Published on: June 20, 2025
Ectopic ureter presenting as anterior wall vaginal prolapse
Toby C Chai1, Rachel Davis, Lisa N Hawes
1From the *Division of Urology, University of Maryland School of Medicine, Baltimore; †Cheaspeake Urology, Fulton; and ‡Department of Pathology, University of Maryland School of Medicine, Baltimore, MD.
A rare case of anterior wall vaginal prolapse (AWVP) was caused by an ectopic ureter in a patient with a solitary kidney. Surgical removal of the ureter resolved urinary and prolapse symptoms, highlighting the need for imaging in similar cases.
Area of Science:
- Urology
- Gynecology
- Radiology
Background:
- Anterior wall vaginal prolapse (AWVP) has several differential diagnoses.
- Patients with a solitary kidney may have associated genitourinary abnormalities.
Observation:
- A patient with a solitary kidney presented with AWVP and lower urinary tract symptoms.
- Pelvic MRI revealed a tubular structure in the retroperitoneum connected to the prolapse.
- Urodynamics showed an obstructive voiding pattern.
Findings:
- Histopathology confirmed the tubular structure as an ectopic ureter.
- Surgical excision successfully treated the patient's symptoms and corrected the AWVP.
Implications:
- This case highlights an ectopic ureter presenting as AWVP, a rare occurrence.
- Congenital solitary kidney warrants suspicion for associated genitourinary anomalies.
- Cross-sectional imaging is crucial for diagnosing such anomalies and guiding treatment.
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