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[Bilateral ectopic ureteroceles: a case report]

K Kawamoto1, K Usuda

  • 1Department of Urology, Shizuoka Children's Hospital.

Hinyokika Kiyo. Acta Urologica Japonica
|February 1, 1993
PubMed
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This report details the twelfth case of bilateral ectopic ureteroceles in Japan, successfully treated in an infant with urinary tract infections. Surgical intervention preserved kidney function, allowing the patient to void smoothly post-operation.

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.

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  • 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.