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Pseudoureterocele: potential for misdiagnosis of an ectopic ureter as a ureterocele
J M Sumfest1, M W Burns, M E Mitchell
1Division of Pediatric Urology, Tripler Army Medical Center, Honolulu, Hawaii, USA.
Objective:
To present several case reports of children with 'pseudoureteroceles'. Familiarization with this entity should help to avoid an error in diagnosis and possible improper therapy.
Patients And Methods:
Three girls with ectopic ureters entering mesonephric duct cysts are presented for review.
Results:
Misdiagnosis of the pseudoureterocele as an ectopic ureter was made in two children. The 'pseudoureterocele' may lie dormant for many years and often presents with acute urinary incontinence and/or onset of urinary tract infections. Resection of the dysplastic kidney and ipsilateral ureter, marsupialization of the cyst into the vagina, and closure of the vesical fistula is the preferred treatment.
Conclusion:
An ectopic ureter draining into a Gartner's duct cyst can be confused with an ectopic ureterocele. Correct diagnosis is vital to ensure proper treatment.