Duplex Collecting System With Ectopic Ureter Into the Posterior Urethra: A Case Report

Area of Science:

• Urology
• Pediatric Surgery
• Medical Imaging

Background:

• The ureters are muscular conduits transporting urine from kidneys to the bladder, typically inserting at the trigone.
• Renal anomalies are frequent, but ureteral ectopia remains a rare congenital condition.
• Clinical manifestations of ectopic ureters range from asymptomatic cases to recurrent urinary tract infections (UTIs) and urinary incontinence.

Observation:

• Radiological modalities are crucial for diagnosing ectopic ureters.
• Ultrasound (US) and micturition cystourethrogram (MCUG) are considered gold standards for diagnosis.
• This case report details a four-year-old female experiencing recurrent UTIs and incontinence due to an ectopic ureter.

Findings:

• Ectopic ureter diagnosis is confirmed through imaging techniques.
• Treatment strategies for ectopic ureters are tailored to the affected renal segment's functionality.
• Surgical options include heminephroureterectomy and ureteroureterostomy, performed via open or laparoscopic approaches.

Implications:

• Early diagnosis and appropriate management of ectopic ureters are vital for preventing complications like recurrent UTIs and incontinence.
• Understanding the diagnostic utility of imaging modalities like US and MCUG is essential for pediatric urologists.
• This case highlights the importance of considering ureteral ectopia in pediatric patients presenting with persistent urinary symptoms.