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An adult ureterocele complicated by a large stone: A case report

Omar N Atta1, Hussein H Alhawari1, Muayyad M Murshidi1

  • 1Jordan University Hospital, Queen Rania Street, Amman 11942, Jordan.

International Journal of Surgery Case Reports
|March 11, 2018
PubMed

Insights

Adult ureteroceles can present with stones and are effectively managed with endoscopic procedures. This approach involves ureterocele deroofing and stone removal, with long-term follow-up recommended.

Area of Science:

  • Urology
  • Congenital Anomalies
  • Endourology

Background:

  • Ureterocele is a congenital cystic dilatation of the lower ureter, presenting diverse challenges.
  • It affects 1 in 4000 individuals and can be associated with other anomalies.
  • A notable adult presentation is a ureteral stone within the ureterocele.

Purpose of the Study:

  • To report a case of adult ureterocele complicated by a large calculus.
  • To describe the endoscopic management of this condition.
  • To review the literature on ureterocele and calculus management.

Main Methods:

  • Endoscopic management including transurethral deroofing of the ureterocele.
  • Cystolitholapaxy for stone removal.
  • Comprehensive literature review.

Main Results:

  • Successful endoscopic management of an adult ureterocele with a large calculus.
  • Demonstrated feasibility of combined transurethral deroofing and cystolitholapaxy.
  • Literature supports endoscopic approaches for ureterocele-associated stones.

Conclusions:

  • Endoscopic treatment is effective for ureteroceles complicated by stones.
  • Management requires consideration of ureterocele type and patient age.
  • Long-term monitoring for hydronephrosis and reflux is crucial post-treatment.
Abstract

Keywords:
Case reportCystolitholapaxyUreteral calculusUreterocele

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