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Published on: October 12, 2017
Bilateral Single System Ectopic Ureters With Vaginal Insertion in a Female Child, A Rare Variant
Mishal Patel1, Urvish Parikh1, Radhika Shrotriya1
1Pediatric Surgery Department, SVPIMSR and Smt. NHL municipal medical college, Ellisbridge, Ahmedabad, India.
Abstract:
In most cases an ectopic ureter is associated with a duplicated renal collecting system while in only a few single systems is found. Bilateral single system ureteral ectopia is even rarer. A 9-year-old girl presented with urinary incontinence. Investigations pointed towards bilateral single system ectopic ureters with ectopic openings into vagina with a hypoplastic bladder. The left ureteric system was tortuous with malrotated and hypoplastic left kidney. A 4 × 2 cm hard calculus was found in the vagina. Right Ureteric reimplantation with left to right uretero-ureterostomy was done with satisfactory postoperative day time continence at 6 months without the need for bladder reconstruction or urinary diversion.
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