A rare variant of ureteric ectopia: opening in vagina and vesico-uretero-vaginal communication

A rare variant of ureteric ectopia, i.e. an opening in the vagina and a vesico-uretero-vaginal communication, is herein reported. This type of congenital anomaly, found in 2 females, has not been reported before. One patient had a free, 2-way communication between the bladder and the vagina via the lower segment of the right ectopic ureter. The other was found to have a one-way communication from the vagina to the bladder through the ectopic distal ureter. Surgical intervention was undertaken in both cases. It is suggested that vaginography after distending the bladder with air is important in the detection of this bizarre anomaly.