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Related Experiment Videos

[Ectopic ureterocele: a case report].

T Nishimura, M Hara, H Abe

    Hinyokika Kiyo. Acta Urologica Japonica
    |September 1, 1984
    PubMed
    Summary
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    This case report details a 2-year-old girl with recurrent urinary tract infections due to an ectopic ureterocele. Surgical correction successfully resolved the condition, improving kidney function and eliminating vesicoureteral reflux (VUR).

    Area of Science:

    • Pediatric Urology
    • Congenital Anomalies

    Background:

    • Ectopic ureteroceles are rare congenital anomalies often associated with duplex kidney systems.
    • Recurrent urinary tract infections (UTIs) in children can indicate underlying urological abnormalities.

    Observation:

    • A 2-year-old girl presented with recurrent UTIs and fever.
    • Intravenous pyelography (IVP) revealed bilateral duplex kidneys with non-excretion from the right upper moiety and a bladder neck filling defect.
    • Cystoscopy confirmed a ureterocele, and cystography showed vesicoureteral reflux (VUR) to the right lower moiety.

    Findings:

    • Surgical exploration identified a complete ureteral duplication with an ectopic ureterocele on the right and incomplete duplication on the left.
    • The ectopic ureterocele was surgically removed and the right ureters were reimplanted.

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  • Postoperative IVP demonstrated improved pyelography of the right lower kidney, and cystography confirmed resolution of VUR.

    • Implications:

    • This case highlights the importance of thorough urological investigation in children with recurrent UTIs.
    • Successful surgical management of ectopic ureteroceles can prevent complications like recurrent infections and renal damage.
    • Reimplantation surgery is effective in correcting associated VUR and improving renal drainage.