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[Strangulated ureterocele and prolapsed urethral mucosa in a little girl. Diagnostic difficulties]
Insights
A pediatric urethral prolapse case in a 2-year-old girl revealed a ureterocele with urinary tract duplication. Surgical intervention involved nephro-ureterectomy and ureterocele repair, successfully treating the persistent condition.
Area of Science:
- Pediatric Urology
- Congenital Abnormalities
- Surgical Case Reports
Background:
- Urethral prolapse is a rare condition in pediatric patients.
- Recurrent symptoms despite initial treatment necessitate comprehensive diagnostic evaluation.
- Congenital anomalies of the urinary tract can present with complex urological issues.
Observation:
- A 2-year-old female presented with persistent urethral prolapse since birth, previously treated twice with electrocoagulation.
- Urological investigations, including urography and ultrasonography, identified an associated ureterocele prolapsing into the urethra.
- The examination also revealed a complete duplication of the urinary tract.
Findings:
- The primary finding was a ureterocele prolapsing into the urethra, associated with complete urinary tract duplication.
- The complex anatomy required advanced surgical planning and execution.
- Successful surgical management was achieved.
Implications:
- This case highlights the importance of thorough urological assessment for persistent urethral prolapse in children.
- It underscores the potential for associated congenital anomalies, such as ureteroceles and urinary tract duplication.
- The described surgical approach offers a potential solution for complex cases of prolapsed ureterocele in pediatric patients.
Abstract:
The author reports a case of a 2 year-old girl, with prolapse of the urethra treated since birth, twice by electro-coagulations. The persistence of the symptoms required further urological examinations (Urography, Ultrasonography), which revealed an ureterocele, prolapsed into the urethra with total duplication of the urinary tract. The operation consisted of a nephro-ureterectomy of the upper tract, with resection and suture of the exteriorized part of the ureterocele in the urethra.