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Clinicopathological and embryological considerations of single ectopic ureters opening into Gartner's duct cyst: a
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Six pediatric cases of ectopic ureters opening into Gartner's duct cysts caused urinary issues and vaginal masses. Surgical removal of the kidney and ureter (nephroureterectomy) was successful in most cases.
Area of Science:
- Urology
- Pediatric Surgery
- Medical Case Studies
Background:
- Gartner's duct cysts are rare congenital anomalies.
- Ectopic ureters can lead to various urinary tract complications.
- The co-occurrence of these two conditions is exceptionally uncommon.
Abstract:
We report 6 cases of single ectopic ureters opening into a Gartner's duct cyst. All but 1 patient were children. The presenting symptoms were urinary incontinence, urinary tract infection, a vaginal mass or weight loss. All but 1 patient had a mass protruding into the vagina. In 5 cases nephroureterectomy was performed successfully. The cyst wall was left untouched to allow for its spontaneous collapse. Although 2 cysts were found to communicate with the vagina, 4 presented as a closed space. All resected kidneys were more dysplastic than those with vaginal ectopia without cyst formation. The etiology and pathogenesis of the anomaly are unknown but some speculations are made.