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Congenital segmental giant megaureter

S Ramaswamy1, V Bhatnagar, D K Mitra

  • 1Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi.

Journal of Pediatric Surgery
|January 1, 1995
PubMed
Summary
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A rare case of congenital segmental giant megaureter presented as an asymptomatic abdominal mass. Surgical excision of the dilated ureter segment with anastomosis successfully treated this condition.

Area of Science:

  • Urology
  • Pediatric Surgery
  • Medical Case Reports

Background:

  • Congenital segmental giant megaureter is a rare congenital anomaly characterized by localized, extreme dilation of a ureter segment.
  • This condition can lead to significant complications, including hydronephrosis and the formation of palpable abdominal masses.
  • Early diagnosis and appropriate management are crucial for preserving renal function.

Observation:

  • A case report detailing a patient with an asymptomatic abdominal mass secondary to congenital segmental giant megaureter.
  • The mass was caused by a significantly dilated ureter segment, with a mildly hydronephrotic ipsilateral kidney palpable separately.
  • Normal ureteral peristaltic activity was observed proximal and distal to the dilated segment.

Findings:

Related Experiment Videos

  • The primary finding was a congenital segmental giant megaureter presenting as an asymptomatic abdominal mass.
  • The affected ureter segment was markedly dilated, causing the mass, while the kidney showed mild hydronephrosis.
  • The ureter's functional integrity was preserved in the non-dilated segments.

    • Implications:

    • This case highlights the importance of considering congenital anomalies in the differential diagnosis of abdominal masses, even in asymptomatic patients.
    • Surgical management involving excision of the affected segment and ureteric anastomosis is an effective treatment for congenital segmental giant megaureter.
    • Successful surgical intervention can prevent further complications and preserve kidney function.