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Congenital Segmental Megaureter in an Ectopic Kidney
Ashish Khanna1, Ravimohan Suryanarayana Mavuduru1, Girdhar S Bora1
1Department of Urology, PGIMER, Chandigarh, India.
Urology
|December 6, 2017
Summary
A rare case of focal segmental megaureter with a kidney stone in a young woman is presented. This condition caused recurrent urinary tract infections and abdominal pain, highlighting the importance of accurate diagnosis.
Area of Science:
- Urology
- Radiology
- Pediatric Nephrology
Background:
- Recurrent urinary tract infections (UTIs) and abdominal pain can significantly impact a patient's quality of life.
- Megaureter, a congenital dilatation of the ureter, can present with various complications.
- Accurate imaging is crucial for diagnosing ureteral anomalies and associated pathologies.
Observation:
- A 19-year-old female presented with a history of recurrent UTIs and abdominal pain.
- Imaging revealed a left-sided focal segmental megaureter.
- A calculus (kidney stone) was identified within the affected ureter.
Findings:
- The patient had a functioning kidney moiety without other congenital anomalies.
- No evidence of vesicoureteral reflux or duplex system was observed.
- The focal segmental megaureter with calculus was the primary cause of symptoms.
Implications:
- This case underscores the importance of considering congenital ureteral anomalies in the differential diagnosis of recurrent UTIs and abdominal pain.
- Early and precise diagnosis through imaging can prevent complications and guide appropriate management.
- Understanding the specific characteristics of megaureter, such as focal segmental involvement, is vital for effective treatment planning.
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