Prolapse of ectopic ureterocele in the vulva

Area of Science:

• Pediatric Urology
• Congenital Malformations

Background:

• Ureterocele is a rare congenital anomaly of the urinary tract.
• Ectopic ureteroceles can present with unique and challenging clinical manifestations.

Observation:

• A 12-month-old female infant presented with a prolapsed ectopic ureterocele extending into the vulva.
• Initial emergency management included urinary catheterization to decompress the ureterocele.

Findings:

• The patient underwent an initial upper polar hemi-nephrectomy with partial resolution.
• A subsequent ureterocelectomy with ureteral reimplantation was required for complete resolution.
• Early intervention is crucial for managing this rare condition.

Implications:

• This case highlights the importance of timely diagnosis and multi-stage surgical intervention for prolapsed ectopic ureteroceles.
• Effective management can prevent long-term complications associated with urinary tract malformations.
• Pediatric urologists must consider diverse presentations of ureteroceles.