[Bilateral ectopic ureteroceles: a case report]

Area of Science:

• Pediatric Urology
• Congenital Abnormalities
• Surgical Management

Background:

• Ectopic ureteroceles are rare congenital anomalies, often presenting with urinary tract infections or obstruction.
• Bilateral involvement is exceptionally uncommon, posing unique diagnostic and therapeutic challenges.
• Early diagnosis and appropriate surgical intervention are crucial for preserving renal function in affected infants.

Observation:

• A two-month-old female infant presented with recurrent urinary tract infections.
• Imaging revealed bilateral ectopic ureteroceles associated with duplex kidneys.
• Histological examination showed renal dysplasia and immaturity in the upper moieties.

Findings:

• The patient underwent left heminephrectomy and right pyeloureterostomy with temporary nephrostomy.
• Postoperative follow-up demonstrated satisfactory ureterocele collapse and smooth voiding.
• The patient remained asymptomatic for over thirty months, indicating successful management.

Implications:

• This case highlights successful surgical strategies for managing bilateral ectopic ureteroceles in infants.
• It underscores the importance of considering renal preservation techniques in complex pediatric urological cases.
• The findings contribute to the understanding of indications for ureterocelectomy versus upper segment preservation in neonates.