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Single giant ectopic ureter: report of two cases
Summary
Giant ectopic ureters, rare urinary tract anomalies, can present as abdominal masses in children. Surgical removal proved successful in two reported cases of this significant congenital condition.
Area of Science:
- Urology
- Pediatric Surgery
- Medical Imaging
Background:
- Giant ectopic ureters are rare congenital anomalies.
- Unilateral renal agenesis can be associated with ureteral abnormalities.
- Early childhood urinary symptoms may be overlooked.
Observation:
- Two pediatric cases presented with unilateral single giant ectopic ureters.
- Palpable abdominal masses were noted on physical examination.
- Imaging revealed renal agenesis, contralateral renal hypertrophy, and massive ureters (>8 cm diameter) extending from upper to lower abdomen, indenting the bladder and terminating in the posterior urethra.
Findings:
- Successful surgical excision of the giant ectopic ureters was achieved in both cases.
- The anomaly involved a complete duplication of the ureteral structure, with one ureter being significantly enlarged and ectopic.
Implications:
- Highlights the importance of investigating persistent childhood urinary symptoms.
- Demonstrates the feasibility of surgical correction for giant ectopic ureters.
- Contributes to understanding the spectrum of congenital urinary tract malformations.